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1295731644
CARLA DIETER
BROOKINGS, SD
NPI
1295731644
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: SD RO20656 CNP0180)
Enumeration Date
2005-06-21
Last Update Date
2007-07-08
Business Address
Ms. CARLA DIETER CNP
SDSU HEALTH & COUNSELING CLINC
BROOKINGS, SD 57007-0001
Phone number: 605-688-5588
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Mailing Address
Ms. CARLA DIETER CNP
47135 203RD ST
BROOKINGS, SD 57006-5804
Phone number: 605-693-3123
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