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Individual

DEIDRA MONIQUE HALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
211 S SPIEL COURT, EAGLE BUTTE, SD 57625
(605) 230-1378
Mailing address
PO BOX 1430, EAGLE BUTTE, SD 57625-1430

Taxonomy

Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
035850010
SD

Other

Enumeration date
12/06/2017
Last updated
12/06/2017
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