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Individual

MS. SANDRA PETTIGREW

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
EAST HIGHWAY 18, EAST HIGHWAY 18, PINE RIDGE, SD 57770-1201
(605) 867-3313
(605) 867-3332
Mailing address
EAST HIGHWAY 18, PINE RIDGE, SD 57770-1201
(605) 867-3313
(605) 867-3332

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R039549
SD

Other

Enumeration date
06/24/2014
Last updated
06/24/2014
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