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1083377584
AMANDA LOUISE FELLBAUM
SIOUX FALLS, SD
NPI
1083377584
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: SD CP002165)
Enumeration Date
2021-10-21
Last Update Date
2022-05-23
Business Address
AMANDA LOUISE FELLBAUM CNP
1112 S LAKE AVENUE SUITE 201
SIOUX FALLS, SD 57104
Phone number: 605-312-5350
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Mailing Address
AMANDA LOUISE FELLBAUM CNP
PO BOX 5074
SIOUX FALLS, SD 57117-5074
Phone number: 605-312-5350
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