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1073330064
SISSETON WAHPETON OYATE OF THE LAKE TRAVERSE RESERVATION
AGENCY VILLAGE, SD
NPI
1073330064
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Entity Type
Organization
Authorized Contact
ELISE JOHNSON
Tribal Health Director
605-698-8315
Organization Subpart ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2024-09-23
Last Update Date
2024-09-23
Business Address
SISSETON WAHPETON OYATE OF THE LAKE TRAVERSE RESERVATION
12554 BIA HIGHWAY 711
AGENCY VILLAGE, SD 57262-7409
Phone number: 605-698-3911
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Mailing Address
SISSETON WAHPETON OYATE OF THE LAKE TRAVERSE RESERVATION
PO BOX 509
AGENCY VILLAGE, SD 57262-0509
Phone number: 605-698-3911
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SISSETON WAHPETON OYATE