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Individual

THAO VAN LE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
640 FLORMANN ST, RAPID CITY, SD 57701-4679
(605) 755-3300
Mailing address
476 COYOTE TRL, BOX ELDER, SD 57719-9454
(501) 813-0806

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CP003855
SD

Other

Enumeration date
10/08/2025
Last updated
10/08/2025
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