NICOLE JOY GLINES

PINE RIDGE, SD
NPI1073779542
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: SD  SD860)
Enumeration Date2008-08-04
Last Update Date2008-08-04
Business Address
-- NICOLE JOY GLINES
EAST HIGHWAY 18
PINE RIDGE, SD 57770
Phone number: 605-867-3078
Mailing Address
-- NICOLE JOY GLINES
PO BOX 1201
PINE RIDGE, SD 57770-1201
Phone number: