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Individual

ALEX LOOKING HORSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
24276 AIRPORT RD, EAGLE BUTTE, SD 57625-8021
(605) 964-7724
Mailing address
24276 AIRPORT RD, EAGLE BUTTE, SD 57625-8021

Taxonomy

Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary

Other

Enumeration date
05/24/2021
Last updated
05/24/2021
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