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Individual

ANTHONY WAYNE DONOVAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPN

Contact information

Practice address
2501 W 22ND ST, SIOUX FALLS, SD 57105-1305
(605) 336-3230
Mailing address
2501 W 22ND ST, SIOUX FALLS, SD 57105-1305
(605) 336-3230

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
P013482
SD

Other

Enumeration date
04/30/2026
Last updated
04/30/2026
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