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1407365901
JORDAN DEAN HEINS
RAPID CITY, SD
NPI
1407365901
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: SD 1116)
Enumeration Date
2017-09-27
Last Update Date
2017-09-27
Business Address
JORDAN DEAN HEINS PA-C
2805 5TH ST
RAPID CITY, SD 57701-6003
Phone number: 605-755-5700
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Mailing Address
JORDAN DEAN HEINS PA-C
1260 ZIEBACH ST
RAPID CITY, SD 57703-0172
Phone number: 620-344-1538
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