Individual
SONYA COOLAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
353 FAIRMONT BLVD, RAPID CITY, SD 57701-7375
(605) 719-1000
Mailing address
353 FAIRMONT BLVD, ATTEN CHRISTIE MSS, RAPID CITY, SD 57701-7375
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R033123
SD
Other
Enumeration date
06/25/2013
Last updated
06/25/2013
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