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1639338122
TERESA ANNETTE BLACKSMITH
PINE RIDGE, SD
NPI
1639338122
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: SD R027661)
Enumeration Date
2008-06-09
Last Update Date
2008-06-09
Business Address
TERESA ANNETTE BLACKSMITH RN
US HWY 18 PINE RIDGE IHS
PINE RIDGE, SD 57770
Phone number: 605-867-3007
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Mailing Address
TERESA ANNETTE BLACKSMITH RN
IHS N-21
PINE RIDGE, SD 57770
Phone number: 605-867-2581
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