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Individual

BRIAN L HILDEBRANDT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ATC

Contact information

Practice address
625 N FOSTER ST, SUITE 107, MITCHELL, SD 57301-2969
(605) 996-3963
Mailing address
2957 DAILEY DR, MITCHELL, SD 57301-6286
(605) 996-8268

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
54
SD

Other

Enumeration date
08/17/2006
Last updated
07/08/2007
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