Individual
MR. SHANE DANIEL LEE DUFFY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
609 1ST ST SW, DE SMET, SD 57231-2258
(605) 203-1666
Mailing address
609 1ST ST SW, DESMET, SD 57231
(605) 203-1666
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
05/26/2009
Last updated
05/26/2009
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