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1417204967
TAMMY JEAN CROFUTT
SIOUX FALLS, SD
NPI
1417204967
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: SD CP000739)
Enumeration Date
2012-08-14
Last Update Date
2019-11-25
Business Address
TAMMY JEAN CROFUTT CNP
810 E 23RD ST
SIOUX FALLS, SD 57105-2135
Phone number: 605-331-5890
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Mailing Address
TAMMY JEAN CROFUTT CNP
810 E 23RD ST
SIOUX FALLS, SD 57105-2135
Phone number: 605-331-5890
Copy
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