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Individual

DEENA DURENE DAVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
R.N.

Contact information

Practice address
353 FAIRMONT BLVD, RAPID CITY, SD 57701-7375
(605) 755-1000
Mailing address
353 FAIRMONT BLVD, RAPID CITY, SD 57701-7375
(605) 755-1000

Taxonomy

Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
R034438
SD
367500000X
Certified Registered Nurse Anesthetist
Primary
SD-CRN CR 000905
SD

Other

Enumeration date
02/09/2016
Last updated
04/19/2016
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