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Individual

CHANNING NORDIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNP

Contact information

Practice address
7421 W 50TH ST, SIOUX FALLS, SD 57106-7647
(605) 999-1087
Mailing address
7421 W 50TH ST, SIOUX FALLS, SD 57106-7647
(605) 999-1087

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
CP001827
SD

Other

Enumeration date
08/31/2020
Last updated
08/31/2020
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