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1477969657
KORIE KAE PRAVECEK
WINNER, SD
NPI
1477969657
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Professional Name
KORIE KAE PRAVECEK
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: SD CP000870)
Enumeration Date
2014-07-08
Last Update Date
2014-10-22
Business Address
-- KORIE KAE PRAVECEK CNP
825 E 8TH ST SUITE 1
WINNER, SD 57580-2634
Phone number: 605-842-2626
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Mailing Address
-- KORIE KAE PRAVECEK CNP
28260 318TH AVE
COLOME, SD 57528-6412
Phone number: 605-840-0166
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