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Individual

DR. SHERRYL J. TOMBOULIAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D., P.H.D

Contact information

Practice address
205 ORCHARD DR, SISSETON, SD 57262-2312
(605) 698-7681
(605) 698-3493
Mailing address
205 ORCHARD DR, SISSETON, SD 57262-2312
(605) 698-7681
(605) 698-3493

Taxonomy

Speciality
Code
Description
License number
State
173000000X
Legal Medicine
A73423
CA
207Q00000X
Family Medicine Physician
49138
CO
207Q00000X
Family Medicine Physician
Primary
9632
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
47480777
CO
Enumeration date
07/06/2006
Last updated
07/11/2016
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