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Individual

TYLER DOPHEIDE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
327 W DARTMOUTH ST, VERMILLION, SD 57069-2009
(914) 525-1955
Mailing address
327 W DARTMOUTH ST, VERMILLION, SD 57069-2009
(914) 525-1955

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0453
SD

Other

Enumeration date
06/26/2014
Last updated
06/26/2014
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