Individual
MRS. HEIDI SUE BLUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20132 409TH AVE, HURON, SD 57350-6303
(605) 461-9277
Mailing address
20132 409TH AVE, HURON, SD 57350-6303
(605) 461-9277
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0239
SD
Other
Enumeration date
05/21/2007
Last updated
05/27/2010
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