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1154981694
NICHOLAS HOLLENBECK
RAPID CITY, SD
NPI
1154981694
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: SD CP001583)
Enumeration Date
2019-06-17
Last Update Date
2019-06-17
Business Address
NICHOLAS HOLLENBECK CNP
4150 5TH ST
RAPID CITY, SD 57701-6022
Phone number: 605-755-4300
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Mailing Address
NICHOLAS HOLLENBECK CNP
6853 E DAISY DR
BLACK HAWK, SD 57718-9842
Phone number: 605-951-1862
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