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1164751798
FAWN R JANIS
RAPID CITY, SD
NPI
1164751798
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: SD R033685)
Enumeration Date
2009-12-10
Last Update Date
2009-12-10
Business Address
MRS. FAWN R JANIS RN
3200 CANYON LAKE DR
RAPID CITY, SD 57702-8114
Phone number: 605-355-2333
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Mailing Address
MRS. FAWN R JANIS RN
3200 CANYON LAKE DR
RAPID CITY, SD 57702-8114
Phone number: 605-355-2333
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