Individual
SELLA BORGUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1305 W 18TH ST, SIOUX FALLS, SD 57105-0401
(605) 333-1000
Mailing address
1305 W 18TH ST, SIOUX FALLS, SD 57105-0401
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CP001018
SD
Other
Enumeration date
01/28/2016
Last updated
01/28/2016
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