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Individual

MICHELLE JANIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
EAST HIGHWAY 18, BOX 1201, PINE RIDGE, SD 57770-1201
(605) 867-5131
Mailing address
PO BOX 540, PINE RIDGE, SD 57770-0540
(605) 441-1715

Taxonomy

Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
R047835
SD

Other

Enumeration date
09/23/2016
Last updated
09/23/2016
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