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Individual

SALENA LUNDQUIST

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-BC

Contact information

Practice address
506 1ST AVE SE, WATERTOWN, SD 57201-4402
(605) 886-8482
Mailing address
506 1ST AVE SE, WATERTOWN, SD 57201-4402
(605) 886-8482

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R034742
SD
363LF0000X
Family Nurse Practitioner
Primary
CP000668
SD

Other

Enumeration date
08/29/2011
Last updated
03/13/2012
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