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Individual

AMY ST AUBIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP-C

Contact information

Practice address
1417 S. CLIFF AVE., SUITE 401, SIOUX FALLS, SD 57105-1064
(605) 322-8920
(605) 322-8919
Mailing address
2400 S. MINNESOTA AVE., SUITE 100, SIOUX FALLS, SD 57105-3762
(605) 322-7510
(605) 322-4995

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F0912512
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6831470
SD
Enumeration date
10/04/2012
Last updated
02/10/2017
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