Individual
JULIE COOMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
EAST HIGHWAY 18, PINE RIDGE, SD 57770-1201
(605) 867-5131
(605) 867-3332
Mailing address
EAST HIGHWAY 18, PINE RIDGE, SD 57770
(605) 867-5131
(605) 867-3332
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
599716
NE
Other
Enumeration date
06/16/2010
Last updated
06/16/2010
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