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1457086316
THABUNA SIVAPRAKASAM
SIOUX FALLS, SD
NPI
1457086316
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-07-23
Last Update Date
2022-07-23
Business Address
Dr. THABUNA SIVAPRAKASAM MD
1400 W 22ND ST
SIOUX FALLS, SD 57105-1554
Phone number: 605-357-1410
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Mailing Address
Dr. THABUNA SIVAPRAKASAM MD
4900 S OXBOW AVE APT 303
SIOUX FALLS, SD 57106-4128
Phone number: 605-305-2858
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