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Individual

JACQUELINE RANAE GARNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNP

Contact information

Practice address
640 FLORMANN ST, RAPID CITY, SD 57701
(605) 718-3300
(605) 718-3426
Mailing address
350 PINE ST, RAPID CITY, SD 57701-1669
(605) 721-8939
(605) 721-8853

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
CP000393
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
R020206
LICENSE
SD
Enumeration date
01/22/2007
Last updated
08/15/2017
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