Individual
MS. LESLIE A GREGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1205 S GRANGE AVE STE 201, SIOUX FALLS, SD 57105-0414
(605) 328-8188
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
CP000632
SD
Other
Enumeration date
12/29/2010
Last updated
12/02/2015
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