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Individual

SANDRA D CLOOTEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNP

Contact information

Practice address
1445 NORTH AVE, SPEARFISH, SD 57783
(605) 644-4170
Mailing address
353 FAIRMONT BLVD, ATTEN MEDICAL STAFF SERVICES, RAPID CITY, SD 57701-6000

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R029388
SD
363LF0000X
Family Nurse Practitioner
SD-CNP CP000350
SD

Other

Enumeration date
10/11/2006
Last updated
02/06/2013
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