Individual
BOBBIE JO DUCHENEAUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
1012 MAIN STREET, EAGLE BUTTE, SD 57625-0580
(605) 733-2139
Mailing address
PO BOX 1012, EAGLE BUTTE, SD 57625-0580
(605) 733-2139
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R036269
SD
Other
Enumeration date
11/23/2007
Last updated
11/23/2007
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