Individual
MRS. JULIA AGNES ABRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
111 E 10TH ST, DELL RAPIDS, SD 57022-1217
(605) 428-5446
(605) 428-2333
Mailing address
111 E 10TH ST, DELL RAPIDS, SD 57022-1217
(605) 428-5446
(605) 428-2333
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0684
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6829850
—
SD
05
—
6829852
—
SD
05
—
6829853
—
SD
05
—
6829854
—
SD
Enumeration date
07/29/2008
Last updated
10/22/2008
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