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Individual

JANE MORT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
2205 N CAREER AVE, COLLEGE OF PHARMACY - SDSU, SIOUX FALLS, SD 57107-1304
(605) 367-5649
Mailing address
2205 N CAREER AVE, COLLEGE OF PHARMACY - SDSU, SIOUX FALLS, SD 57107-1304
(605) 367-5649

Taxonomy

Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
R4428
SD

Other

Enumeration date
09/11/2006
Last updated
07/08/2007
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