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1336112366
GLENDA K BALTHAZOR
SIOUX FALLS, SD
NPI
1336112366
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Former Name
GLENDA WRIGHT
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: SD 0307)
Enumeration Date
2006-02-09
Last Update Date
2007-10-30
Business Address
-- GLENDA K BALTHAZOR CRNA
1305 W 18TH ST
SIOUX FALLS, SD 57105-0401
Phone number: 605-333-1000
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Mailing Address
-- GLENDA K BALTHAZOR CRNA
PO BOX 5053
SIOUX FALLS, SD 57117-5053
Phone number: 605-328-6548
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