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Organization
SEA CHIROPRACTIC PROF LLC
Active
Organization
SEA CHIROPRACTIC PROF LLC
Active
Other names
Sea Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRENT A GUSSO D.C. (OWNER)
(605) 361-6706
Entity
Organization
Contact information
Practice address
2523 S SHIRLEY AVE, SIOUX FALLS, SD 57106-4324
(605) 361-6706
(605) 362-8907
Mailing address
2523 S SHIRLEY AVE, SIOUX FALLS, SD 57106-4324
(605) 361-6706
(605) 362-8907
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1013
SD
Other
Enumeration date
12/19/2011
Last updated
12/19/2011
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