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Individual

THERESA ANN PERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
20 S PLUM ST, VERMILLION, SD 57069-3346
(605) 624-9111
(605) 624-6636
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
48727
MN
207Q00000X
Family Medicine Physician
Primary
LT1090
SD

Other

Enumeration date
07/29/2006
Last updated
11/21/2008
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