Individual
JAIME AGUILAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
317 MAIN STREET, EAGLE BUTTE, SD 57625-0910
(605) 964-3007
(605) 964-1139
Mailing address
PO BOX 910, EAGLE BUTTE, SD 57625-0910
(605) 964-7575
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0491
SD
Other
Enumeration date
01/10/2007
Last updated
07/08/2007
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