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Individual

MRS. RITA FAYE BORDEAUX

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
R.N.

Contact information

Practice address
701 E. 6TH ST., BOX879, MCLAUGHLIN, SD 57642
(605) 823-4458
(605) 823-4460
Mailing address
PO BOX 61, MC LAUGHLIN, SD 57642-0061
(605) 823-4278

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R028436
SD

Other

Enumeration date
04/30/2009
Last updated
04/30/2009
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