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Individual

ALEESHA MARIE DEKNIKKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNP

Contact information

Practice address
740 S HILL ST, SALEM, SD 57058-8760
(605) 425-2855
(605) 425-2149
Mailing address
1112 S LAKE AVE, STE 201, SIOUX FALLS, SD 57105
(605) 333-1000

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
CP001751
SD
363LF0000X
Family Nurse Practitioner
Primary
CP001751
SD

Other

Enumeration date
04/22/2020
Last updated
11/08/2022
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