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1316200934
KATE EAGLESTAFF
EAGLE BUTTE, SD
NPI
1316200934
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: SD P010457)
Enumeration Date
2012-06-19
Last Update Date
2012-06-19
Business Address
-- KATE EAGLESTAFF
24276 166TH ST. AIRPORT RAOD
EAGLE BUTTE, SD 57625
Phone number: 605-964-7724
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Mailing Address
-- KATE EAGLESTAFF
PO BOX 1012
EAGLE BUTTE, SD 57625
Phone number:
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