Individual
MRS. DEBRA JO SULLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
ROSEBUD IHS HOSPITAL, SOLDIER CREEK ROAD, ROSEBUD, SD 57570
(605) 747-2231
(605) 747-2126
Mailing address
ROSEBUD IHS HOSPITAL, SOLIDER CREEK ROAD, ROSEBUD, SD 57570
(605) 747-2231
(605) 747-2126
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RO27069
SD
Other
Enumeration date
01/08/2007
Last updated
07/08/2007
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