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Individual

ELIJAH JOHN WOLFE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RT

Contact information

Practice address
100 LAKE TRAVERSE DR, SISSETON, SD 57262-7046
(605) 268-4547
Mailing address
218 W PINE ST, SISSETON, SD 57262-1832
(605) 268-4547

Taxonomy

Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
Primary

Other

Enumeration date
12/29/2009
Last updated
12/29/2009
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