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Individual

JERRY W CHESLEY

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
172 4TH ST SE, HURON, SD 57350-2510
(605) 353-6200
(605) 353-6593
Mailing address
172 4TH ST SE, HURON, SD 57350-2510
(605) 353-6200
(605) 353-6593

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0070
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6826000
SD
Enumeration date
11/18/2005
Last updated
07/08/2007
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