PHYLLIS CHARITY PROVANCIAL

ROSEBUD, SD
NPI1588712640
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163W00000X Registered Nurse
(Licence: AZ  RN054076)
Enumeration Date2007-01-08
Last Update Date2007-07-08
Business Address
Ms. PHYLLIS CHARITY PROVANCIAL Registered Nurse
ROSEBUD IHS HOSPITAL SOLDIER CREEK ROAD
ROSEBUD, SD 57570
Phone number: 605-747-2231
Mailing Address
Ms. PHYLLIS CHARITY PROVANCIAL Registered Nurse
ROSEBUD IHS HOSPITAL SOLDIER CREEK ROAD
ROSEBUD, SD 57570
Phone number: 605-747-2231
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