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MR. JEFFREY ROBERT SEVERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPN

Contact information

Practice address
1754 S 3RD ST, ABERDEEN, SD 57401-6946
(605) 216-7908
Mailing address
1754 S 3RD ST, ABERDEEN, SD 57401-6946
(605) 216-7908

Taxonomy

Speciality
Code
Description
License number
State
146M00000X
Intermediate Emergency Medical Technician
Primary
A2018904
164W00000X
Licensed Practical Nurse
P011001
SD

Other

Enumeration date
04/07/2017
Last updated
04/07/2017
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