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Individual

DR. JESSICA ANN WOLF

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DC

Contact information

Practice address
103 WEST GLYNN DRIVE, PARKSTON, SD 57366
(605) 928-7777
(605) 928-1477
Mailing address
PO BOX 815, 103 WEST GLYNN DRIVE, PARKSTON, SD 57366-0815
(605) 928-7777
(605) 928-1477

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
999
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
253284
MIDLANDS CHOICE
SD
01
39012
SANFORD HEALTH
SD
01
4993949
BLUE CROSS BLUE SHIELD
SD
01
8052
AVERA
SD
01
C999
DAKOTACARE
SD
Enumeration date
08/30/2005
Last updated
02/23/2010
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