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Individual

CARA E DEISS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
113 COMANCHE RD, FORT MEADE, SD 57741-1002
(605) 720-6812
Mailing address
113 COMANCHE RD, FORT MEADE, SD 57741-1002

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R040300
SD
2255A2300X
Athletic Trainer
Primary
1908
MN

Other

Enumeration date
11/14/2006
Last updated
04/08/2026
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