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Individual

SAMSON USHA ARGO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
7701 S TOWNSLEY AVE UNIT 107, SIOUX FALLS, SD 57108-7640
(605) 370-0974
Mailing address
7701 S TOWNSLEY AVE UNIT 107, SIOUX FALLS, SD 57108-7640
(605) 370-0974

Taxonomy

Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
80011
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
88-3623207
SD
Enumeration date
08/09/2022
Last updated
08/09/2022
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