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Organization
PIERRE INDIAN LEARNING CENTER
Active
Organization
PIERRE INDIAN LEARNING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DARRELL JEANOTTE (SUPERINTENDENT)
(605) 224-8661
Entity
Organization
Contact information
Practice address
3001 E SULLY AVE, PIERRE, SD 57501-4403
(605) 224-8861
(605) 224-0985
Mailing address
3001 E SULLY AVE, PIERRE, SD 57501-4403
(605) 224-8861
(605) 224-0985
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
—
NULL
163WS0200X
School Registered Nurse
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5153010
—
SD
Enumeration date
03/12/2008
Last updated
03/12/2008
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