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1225737778
KEBELE WAKO GODENA
SIOUX FALLS, SD
NPI
1225737778
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
311ZA0620X Custodial Care Facility, Adult Care Home
Enumeration Date
2023-02-23
Last Update Date
2023-02-23
Business Address
KEBELE WAKO GODENA
4201 W PAT ST
SIOUX FALLS, SD 57107-1839
Phone number: 605-370-0974
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Mailing Address
KEBELE WAKO GODENA
4201 W PAT ST
SIOUX FALLS, SD 57107-1839
Phone number: 605-370-0974
Copy
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