Individual
MARY JO DUPRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.N.
Contact information
Practice address
24276 166TH STREET AIRPORT ROAD, EAGLE BUTTE, SD 57625
(605) 964-7724
Mailing address
PO BOX 1784, EAGLE BUTTE, SD 57625-1784
(605) 964-7224
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L-13883
ND
Other
Enumeration date
03/01/2013
Last updated
03/01/2013
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