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1508802596
MARINA K PETUKOFF
RAPID CITY, SD
NPI
1508802596
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208M00000X Hospitalist
(Licence: SD 4607)
Enumeration Date
2006-06-20
Last Update Date
2013-01-03
Business Address
-- MARINA K PETUKOFF MD
353 FAIRMONT BLVD.
RAPID CITY, SD 57701
Phone number: 605-719-1000
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Mailing Address
-- MARINA K PETUKOFF MD
353 FAIRMONT BLVD ATTEN MEDICAL STAFF SERVICES
RAPID CITY, SD 57701-6000
Phone number:
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