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Individual

MR. KELLY A DEGRYSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
H.I.S.

Contact information

Practice address
1141 DEADWOOD AVE, SUITE 10, RAPID CITY, SD 57702-0391
(605) 737-9685
Mailing address
1141 DEADWOOD AVE, SUITE 10, RAPID CITY, SD 57702-0391
(605) 737-9685

Taxonomy

Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
303H
SD

Other

Enumeration date
07/16/2013
Last updated
07/16/2013
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