Individual
DELEEN JEAN KOUGL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
315 MAIN STREET, EAGLE BUTTE, SD 57625
(605) 964-7700
(605) 964-7701
Mailing address
315 MAIN STREET, EAGLE BUTTE, SD 57625
(605) 964-7700
(605) 964-7701
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0316
SD
Other
Enumeration date
04/03/2007
Last updated
01/15/2010
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