Individual
DIANE MARIE OPBROEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
111 NORTH ST, RAPID CITY, SD 57701-1163
(605) 343-0650
(605) 342-3692
Mailing address
350 ELK ST, RAPID CITY, SD 57701-7351
(605) 343-7262
(605) 342-3692
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
P006123
SD
Other
Enumeration date
03/31/2017
Last updated
03/31/2017
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