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Individual

SUZANNE LEA BAKKEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1201 S EUCLID AVE, SIOUX FALLS, SD 57105-7700
(605) 328-7090
(605) 328-7091
Mailing address
1201 S EUCLID AVE, SIOUX FALLS, SD 57105-0400
(605) 328-7090
(605) 328-7091

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
CP000417
SD
363L00000X
Nurse Practitioner
Primary
R030642
SD

Other

Enumeration date
06/03/2006
Last updated
10/19/2007
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