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Individual

ALYSSA JO ETZKORN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
100 MAC LN, PIERRE, SD 57501-3391
(605) 945-5277
(605) 945-5389
Mailing address
102 VILLAGE DR, PIERRE, SD 57501-2886
(605) 222-7312

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1218
SD

Other

Enumeration date
09/25/2019
Last updated
06/05/2023
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