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Individual

MS. NANCY ANN RUDE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
105 S STATE ST, STE 113, ABERDEEN, SD 57401-4501
(605) 225-0378
(605) 225-7919
Mailing address
PO BOX 1460, ABERDEEN, SD 57402-1460
(605) 622-2867
(605) 622-2859

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0116
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6820062
SD
Enumeration date
02/09/2006
Last updated
09/29/2016
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