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Organization
SOUTHEASTERN CHIROPRACTIC PC
Active
Organization
SOUTHEASTERN CHIROPRACTIC PC
Active
Other names
Your Family Chiropractor
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS KEITH JENSEN DC (OWNER)
(605) 371-3346
Entity
Organization
Contact information
Practice address
5011 S BUR OAK PL, SIOUX FALLS, SD 57108-2228
(605) 371-3346
Mailing address
5011 S BUR OAK PL, SIOUX FALLS, SD 57108-2228
(605) 371-3346
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
924
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7600700
—
SD
Enumeration date
07/30/2012
Last updated
10/04/2012
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