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Individual

JAKOB GABRIEL HERTEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CNP

Contact information

Practice address
6100 S LOUISE AVE # 2100, SIOUX FALLS, SD 57108-6029
(605) 504-1100
Mailing address
607 SAINT JEROME ST, HARRISBURG, SD 57032-2241
(605) 254-6459

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CP002487
SD

Other

Enumeration date
08/18/2022
Last updated
10/15/2022
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