STACY L THOMAS

SIOUX FALLS, SD
NPI1548272776
Former NameSTACY L OMODT
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: SD  R020320-0336)
Enumeration Date2006-08-13
Last Update Date2012-07-19
Business Address
-- STACY L THOMAS CRNA
1325 S CLIFF AVE
SIOUX FALLS, SD 57105-1007
Phone number: 605-322-2754
Mailing Address
-- STACY L THOMAS CRNA
PO BOX 5045 P.F.S. PROV ENROLLMENT
SIOUX FALLS, SD 57117-5045
Phone number: 605-322-2754
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