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1073546156
ALISSA M MOEN
SIOUX FALLS, SD
NPI
1073546156
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: SD 0584)
Enumeration Date
2006-07-09
Last Update Date
2016-07-07
Business Address
ALISSA M MOEN PA-C
810 EAST 23RD STREET ORTHOPEDIC INSTITUTE
SIOUX FALLS, SD 57117-5116
Phone number: 605-331-5890
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Mailing Address
ALISSA M MOEN PA-C
PO BOX 5116 ORTHOPEDIC INSTITUTE
SIOUX FALLS, SD 57117-5116
Phone number: 605-331-5890
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