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Organization
CHARLES MIX ELECTRIC ASSOCIATION INC.
Active
Organization
CHARLES MIX ELECTRIC ASSOCIATION INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SALLY J. FLOREY (SECRETARY/CASHIER)
(605) 487-7321
Entity
Organization
Contact information
Practice address
440 LAKE ST, LAKE ANDES, SD 57356-0010
(605) 487-7321
(605) 487-7868
Mailing address
PO BOX 10, LAKE ANDES, SD 57356-0010
(605) 487-7321
(605) 487-7868
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9560280
—
SD
Enumeration date
10/03/2006
Last updated
08/22/2020
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