Individual
DR. JESSICA ANN GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
1002 S DAKOTA ST, SUITE 101, MILBANK, SD 57252-2700
(605) 432-6676
(605) 432-6676
Mailing address
1002 S DAKOTA ST, SUITE 101, MILBANK, SD 57252-2700
(605) 432-6676
(605) 432-6676
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
984
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
413330700
—
MN
05
—
7601494
—
SD
Enumeration date
08/03/2006
Last updated
07/09/2007
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