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Individual

MARISSA SINSABAUGH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
323 SW 10TH ST, MADISON, SD 57042-3200
(605) 256-6551
Mailing address
323 SW 10TH ST, MADISON, SD 57042-3200

Taxonomy

Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
R051964
SD
363LF0000X
Family Nurse Practitioner
Primary
CP002132
SD

Other

Enumeration date
08/27/2021
Last updated
09/05/2021
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