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Individual

DALLAS BARRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, APN

Contact information

Practice address
24276 AIRPORT RD, 166TH ST, EAGLEBUTTE, SD 57625-5762
(605) 964-0568
Mailing address
207 N BYRNE AVE, AGAR, SD 57520-5312
(218) 469-0641

Taxonomy

Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
R045661
SD
363L00000X
Nurse Practitioner
Primary
CP003152
SD

Other

Enumeration date
11/20/2017
Last updated
02/25/2025
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