Individual
MARILYN SEYMOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
LST AND ROOSEVELT, WHTIE RIVER, SD 57579-0281
(605) 259-3121
(605) 256-3444
Mailing address
1ST AND ROOSEVELT, WHITE RIVER, SD 57579-0281
(605) 259-3121
(605) 259-3444
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0004
SD
363AM0700X
Medical Physician Assistant
0004
SD
Other
Enumeration date
04/02/2008
Last updated
04/02/2008
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