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1053361014
RICHARD A. WAKE
BROOKINGS, SD
NPI
1053361014
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: SD 2188)
Enumeration Date
2006-05-11
Last Update Date
2008-04-30
Business Address
Dr. RICHARD A. WAKE MD
400 22ND AVE.
BROOKINGS, SD 57006-2497
Phone number: 605-697-9500
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Mailing Address
Dr. RICHARD A. WAKE MD
400 22ND AVE.
BROOKINGS, SD 57006-2497
Phone number: 605-697-9500
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