Individual
JANICE AFRAID OF HAWK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
HC 73 BOX 28, DUPREE, SD 57623-9700
(605) 538-4290
Mailing address
HC 73 BOX 28, DUPREE, SD 57623-9700
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
P005228
SD
Other
Enumeration date
07/01/2011
Last updated
07/01/2011
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