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Individual

MR. PERCY E GOLSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.A.

Contact information

Practice address
815 FIRST AVENUE SE, ABERDEEN, SD 57401
(605) 622-5123
(605) 622-5906
Mailing address
PO BOX 7025, AMAGANSETT, NY 11930
(631) 329-6925
(631) 329-6951

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0378
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2002975
SD
Enumeration date
07/21/2006
Last updated
12/02/2013
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