LIBERTY ANN DERBY GOODSELL

SISSETON, SD
NPI1043651615
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: ND  L13475)
Enumeration Date2013-07-11
Last Update Date2013-07-11
Business Address
-- LIBERTY ANN DERBY GOODSELL LPN
100 LAKE TRAVERSE DR
SISSETON, SD 57262-7046
Phone number: 605-698-7606
Mailing Address
-- LIBERTY ANN DERBY GOODSELL LPN
100 LAKE TRAVERSE DR
SISSETON, SD 57262-7046
Phone number: 605-698-7606
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