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Individual

BRIANNE EDWARDS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2820 MOUNT RUSHMORE RD, RAPID CITY, SD 57701-5462
(605) 342-3280
Mailing address
PO BOX 6020, RAPID CITY, SD 57709-6020
(605) 342-3280

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0634
SD

Other

Enumeration date
01/31/2007
Last updated
03/03/2011
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