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Individual

RACHAEL R DEKKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNP, CRNA

Contact information

Practice address
1018 6TH AVE, WORTHINGTON, MN 56187
(605) 321-3069
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
CP000604
SD
367500000X
Certified Registered Nurse Anesthetist
Primary
1941
MN
367500000X
Certified Registered Nurse Anesthetist
CR000907
SD

Other

Enumeration date
07/29/2010
Last updated
12/11/2020
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