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NPI Profile for PRAIRIE COMMUNITY HEALTH INC in EAGLE BUTTE, SD.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
School |
363LS0200X | 50 | Nurse Practitioner |
| NPI # | 1437221504 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 11/14/2006 | |
| Last updated | 10/11/2007 - About 19 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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PRAIRIE COMMUNITY HEALTH, INC.