JORDAN LAWRENCE

EAGLE BUTTE, SD
NPI1093086373
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy163W00000X Registered Nurse
(Licence: SD  r044810)
Enumeration Date2012-01-19
Last Update Date2012-01-19
Business Address
-- JORDAN LAWRENCE Nurse
312 MAIN ST.
EAGLE BUTTE, SD 57625
Phone number: 605-964-7724
Mailing Address
-- JORDAN LAWRENCE Nurse
312 MAIN ST.
EAGLE BUTTE, SD 57625
Phone number:
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