Individual
SARA SUZANNE DEGROOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
113 COMANCHE RD, FORT MEADE, SD 57741-1002
(605) 347-2511
Mailing address
113 COMANCHE RD, FORT MEADE, SD 57741-1002
(605) 347-2511
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R045647
SD
Other
Enumeration date
07/31/2021
Last updated
05/05/2025
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