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Individual

CASSANDRA A GUTZMER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP-C

Contact information

Practice address
300 W 5TH ST, MILLER, SD 57362-1238
(605) 853-0158
(605) 853-3885
Mailing address
300 W 5TH ST, PO BOX 287, MILLER, SD 57362-1238
(605) 853-0158
(605) 853-3885

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
CP000741
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6839340
SD
Enumeration date
08/27/2012
Last updated
02/26/2014
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