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Individual

MICHELE RENEE CAIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT-

Contact information

Practice address
350 PINE ST, RAPID CITY, SD 57701-1669
(605) 721-8939
(057) 218-8236
Mailing address
350 PINE ST, RAPID CITY, SD 57701-1669
(605) 721-8939
(605) 721-8823

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
2112
AK
363A00000X
Physician Assistant
Primary
4265
CO

Other

Enumeration date
02/11/2011
Last updated
02/19/2021
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