KATE EAGLESTAFF

EAGLE BUTTE, SD
NPI1316200934
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: SD  P010457)
Enumeration Date2012-06-19
Last Update Date2012-06-19
Business Address
-- KATE EAGLESTAFF
24276 166TH ST. AIRPORT RAOD
EAGLE BUTTE, SD 57625
Phone number: 605-964-7724
Mailing Address
-- KATE EAGLESTAFF
PO BOX 1012
EAGLE BUTTE, SD 57625
Phone number: