LISA R MOON

RAPID CITY, SD
NPI1164728267
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163W00000X Registered Nurse
(Licence: SD  R030502)
Enumeration Date2011-02-07
Last Update Date2011-02-07
Business Address
-- LISA R MOON RN
3200 CANYON LAKE DR
RAPID CITY, SD 57702-8114
Phone number: 605-355-2308
Mailing Address
-- LISA R MOON RN
3200 CANYON LAKE DR
RAPID CITY, SD 57702-8114
Phone number: 605-355-2308
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