Individual
JENNY LYNN TRUDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
103 E COMMERCIAL AVE, GETTYSBURG, SD 57442-1101
(605) 765-9458
(605) 765-2225
Mailing address
PO BOX 97, LEBANON, SD 57455-0097
(605) 768-2115
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
T0280
SD
Other
Enumeration date
10/19/2006
Last updated
07/08/2007
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