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1013101054
WAYNE PLOOSTER
RAPID CITY, SD
NPI
1013101054
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: SD 7273)
Enumeration Date
2007-09-04
Last Update Date
2014-12-15
Business Address
-- WAYNE PLOOSTER DO
717 SAINT FRANCIS ST
RAPID CITY, SD 57701-4677
Phone number: 605-342-2880
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Mailing Address
-- WAYNE PLOOSTER DO
PO BOX 6020
RAPID CITY, SD 57709-6020
Phone number:
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