CHARISSA T SHACKLETON

RAPID CITY, SD
NPI1386415495
Former NameCHARISSA T MATTSON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163W00000X Registered Nurse
(Licence: SD  R041917)
Enumeration Date2024-01-09
Last Update Date2024-01-09
Business Address
CHARISSA T SHACKLETON
3200 CANYON LAKE DR
RAPID CITY, SD 57702-8114
Phone number: 605-355-2500
Mailing Address
CHARISSA T SHACKLETON
3200 CANYON LAKE DR
RAPID CITY, SD 57702-8114
Phone number: 605-355-2500
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