Individual
MARY K. DOSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
317 N MAIN ST., EAGLE BUTTE, SD 57625
(605) 964-3007
(605) 964-1156
Mailing address
PO BOX 128, DUPREE, SD 57623-0128
(605) 964-3007
(605) 964-1156
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R025790
SD
Other
Enumeration date
04/25/2007
Last updated
07/08/2007
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