MIKA J TIBBS

EAGLE BUTTE, SD
NPI1255560066
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163W00000X Registered Nurse
(Licence: SD  R037153)
Enumeration Date2009-07-14
Last Update Date2009-07-14
Business Address
-- MIKA J TIBBS RN
317 N MAIN ST
EAGLE BUTTE, SD 57625-1012
Phone number: 605-964-3004
Mailing Address
-- MIKA J TIBBS RN
PO BOX 1012
EAGLE BUTTE, SD 57625-1012
Phone number: 605-964-3004
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