Individual
KLANCY TINDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1311 VANDER HORCK AVENUE, BRITTON, SD 57430-0939
(605) 448-2251
Mailing address
142 MAPLEWOOD DR, GWINNER, ND 58040-4200
(701) 680-9572
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
29OA
SD
Other
Enumeration date
12/26/2012
Last updated
12/26/2012
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