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Individual

MRS. TINA RENEE SALLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CFA

Contact information

Practice address
353 WESTBERRY CT W, RAPID CITY, SD 57702-2712
(605) 341-3803
Mailing address
353 WESTBERRY CT W, RAPID CITY, SD 57702-2712
(605) 341-3803
(605) 341-3803

Taxonomy

Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary

Other

Enumeration date
12/16/2006
Last updated
07/08/2007
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