AUSTEN FAGERLAND

RAPID CITY, SD
NPI1376816520
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: SD  0810)
Enumeration Date2012-02-20
Last Update Date2013-01-24
Business Address
-- AUSTEN FAGERLAND
640 FLORMANN ST
RAPID CITY, SD 57701-4679
Phone number: 605-718-3300
Mailing Address
-- AUSTEN FAGERLAND
353 FAIRMONT BLVD ATTEN CHRISTIE MSS
RAPID CITY, SD 57701-7375
Phone number:
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