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Individual

MS. LYNETTE KAY MUNCE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PAC

Contact information

Practice address
1010 WEST 1ST ST, REDFIELD, SD 57469-1506
(605) 472-0510
(605) 472-0331
Mailing address
PO BOX 590, REDFIELD, SD 57469-0590
(605) 472-0510
(605) 472-0331

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0077
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6820942
SD
Enumeration date
02/03/2006
Last updated
06/08/2010
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