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1609213339
STEPHANIE M IDEKER
SIOUX FALLS, SD
NPI
1609213339
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: SD 0868)
Enumeration Date
2013-06-04
Last Update Date
2019-05-02
Business Address
STEPHANIE M IDEKER PA-C
201 W 69TH ST
SIOUX FALLS, SD 57108
Phone number: 605-336-0635
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Mailing Address
STEPHANIE M IDEKER PA-C
201 W 69TH ST
SIOUX FALLS, SD 57108-2403
Phone number: 605-336-0635
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