Individual
HOLLY EDBLOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2501 W 22ND ST, SIOUX FALLS, SD 57105-1305
(605) 336-3230
Mailing address
6200 W OSCAR HOWE CIR, SIOUX FALLS, SD 57106-0514
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
P014007
SD
Other
Enumeration date
10/11/2025
Last updated
10/11/2025
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