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1679001945
ERIC PEDERSON
RAPID CITY, SD
NPI
1679001945
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: SD 12132)
Enumeration Date
2017-05-31
Last Update Date
2020-10-07
Business Address
ERIC PEDERSON DO
502 E MONROE ST
RAPID CITY, SD 57701-1400
Phone number: 605-755-4060
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Mailing Address
ERIC PEDERSON DO
502 E MONROE ST
RAPID CITY, SD 57701-1400
Phone number: 605-755-4060
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