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MRS. MERRY CAROLE AFRAID OF BEAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
EAST HIGHWAY 18, PINE RIDGE, SD 57770-1201
(605) 867-3013
(605) 867-3271
Mailing address
PO BOX 1201, PINE RIDGE, SD 57770-1201
(605) 867-3013
(605) 867-3271

Taxonomy

Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
26NO08348200
NJ

Other

Enumeration date
06/23/2008
Last updated
06/23/2008
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