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1497416481
JIRINA FEDELE
RAPID CITY, SD
NPI
1497416481
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: GA 095902)
Enumeration Date
2022-01-03
Last Update Date
2022-01-03
Business Address
Mrs. JIRINA FEDELE LPN
3200 CANYON LAKE DR
RAPID CITY, SD 57702-8114
Phone number: 605-719-4011
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Mailing Address
Mrs. JIRINA FEDELE LPN
13859 LH RD
FAIRBURN, SD 57738-5040
Phone number: 706-945-4895
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