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1083648448
TIMOTHY DAVID FITZ
SIOUX FALLS, SD
NPI
1083648448
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: SD R22301)
Enumeration Date
2006-07-10
Last Update Date
2007-07-08
Business Address
-- TIMOTHY DAVID FITZ CRNA
2501 W 22ND ST
SIOUX FALLS, SD 57105-1305
Phone number: 605-333-6859
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Mailing Address
-- TIMOTHY DAVID FITZ CRNA
6801 W STONEY CREEK CIR
SIOUX FALLS, SD 57106-4619
Phone number: 605-339-3278
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