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Individual

MARTYANN APA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA AUD

Contact information

Practice address
550 COLORADO BLVD, SPEARFISH, SD 57783
(605) 642-2030
(605) 642-8338
Mailing address
137 GRAND AVENUE, LEAD, SD 57754
(605) 722-1515

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
3
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5830643
SD
Enumeration date
09/06/2006
Last updated
07/08/2007
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