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Individual

GERALYN C HAHNE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA C

Contact information

Practice address
118 N. MAIN, ISABEL, SD 57633-0097
(605) 466-2120
(605) 466-2190
Mailing address
PO BOX 97, ISABEL, SD 57633-0097
(605) 466-2120
(605) 466-2190

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0496
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4323772
SD
Enumeration date
11/18/2005
Last updated
03/02/2012
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