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Individual

THERESA CARROLL FRANK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
204 E 19TH ST, SIOUX FALLS, SD 57105-0825
(605) 334-8467
Mailing address
1391 NW 136TH AVE, SUNRISE, FL 33323-2800

Taxonomy

Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
R022517
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
R022517
NURSING
SD
Enumeration date
01/06/2022
Last updated
01/06/2022
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