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Individual

MR. GERALD JEROME HOTZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.T.

Contact information

Practice address
6080 COADY CT, RAPID CITY, SD 57703-9603
(605) 393-4374
Mailing address
6080 COADY CT, RAPID CITY, SD 57703-9603
(605) 393-4374

Taxonomy

Speciality
Code
Description
License number
State
246QM0706X
Medical Technologist
Primary
SD128925
SD

Other

Enumeration date
01/07/2008
Last updated
01/07/2008
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