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Individual

COREY TREVONNE DEAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1305 W 18TH ST, SIOUX FALLS, SD 57105-0401
(605) 312-9500
Mailing address
3308 S LINCOLN AVE APT 4, SIOUX FALLS, SD 57105-5234
(251) 800-2088

Taxonomy

Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary

Other

Enumeration date
09/30/2025
Last updated
09/30/2025
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