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1184028383
ELLEN PIETSCH
EAGLE BUTTE, SD
NPI
1184028383
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163WM0705X Registered Nurse, Medical-Surgical
(Licence: SD R042935)
Enumeration Date
2014-10-16
Last Update Date
2014-10-16
Business Address
Miss ELLEN PIETSCH
24276 AIRPORT RD
EAGLE BUTTE, SD 57625
Phone number: 605-964-0705
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Mailing Address
Miss ELLEN PIETSCH
PO BOX 882
EAGLE BUTTE, SD 57625-0882
Phone number:
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