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Individual

MR. J.C. PALMER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
HIS

Contact information

Practice address
264 KANSAS AVE. S.E., HURON, SD 57350
(605) 352-3949
Mailing address
264 KANSAS AVE. S.E., HURON, SD 57350
(605) 352-3949

Taxonomy

Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
298H
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1007-7967-UT
S.D. USE TAX #
Enumeration date
08/09/2010
Last updated
08/09/2010
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