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NA SMITH

Individual Provider (NPI-1) Active

Provider Information

NPI Number
1811350218
Provider Type
Individual Provider (NPI-1)
Status
Active

Contact & Location

Address
1309 W 17TH ST, SIOUX FALLS, SD, 571044663
Phone
(605) 328-6001

Specialties & Taxonomies

Unknown Primary License: SD #12820
Unknown License: MN #62412

All Addresses

LOCATION

1309 W 17TH ST

SIOUX FALLS, SD, 571044663

(605) 328-6001

MAILING

PO BOX 5074

SIOUX FALLS, SD, 571175074