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Organization
PURE MEDICAL AESTHETICS
Active
Organization
PURE MEDICAL AESTHETICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. HEIDI GLOOD FNP-C (OWNER)
(605) 786-5213
Entity
Organization
Contact information
Practice address
525 KANSAS CITY ST, RAPID CITY, SD 57701-3673
(605) 415-4448
Mailing address
525 KANSAS CITY ST, RAPID CITY, SD 57701-3673
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
NULL
Other
Enumeration date
07/19/2018
Last updated
07/19/2018
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