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1184642852
LI REN
RAPID CITY, SD
NPI
1184642852
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: SD 0622)
Enumeration Date
2006-07-18
Last Update Date
2013-01-24
Business Address
-- LI REN PA-C
640 FLORMANN ST
RAPID CITY, SD 57701
Phone number: 605-718-3300
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Mailing Address
-- LI REN PA-C
353 FAIRMONT BLVD ATTEN MEDICAL STAFF SERVICES
RAPID CITY, SD 57701-6000
Phone number:
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