Individual
LESLIE RAE KERWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
211 S RIVER ST, CHAMBERLAIN, SD 57325-1525
(605) 234-0503
Mailing address
211 S RIVER ST, CHAMBERLAIN, SD 57325-1525
(605) 234-0503
Taxonomy
Speciality
Code
Description
License number
State
246QM0706X
Medical Technologist
Primary
176859
NM
Other
Enumeration date
04/07/2008
Last updated
04/07/2008
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