GABRIEL PENAREDONDO

SIOUX FALLS, SD
NPI1700237997
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MN  12187)
Additional Taxonomies363A00000X Physician Assistant
Enumeration Date2016-06-29
Last Update Date2024-01-22
Business Address
GABRIEL PENAREDONDO PA-C
1301 W 18TH ST
SIOUX FALLS, SD 57105-0401
Phone number: 605-312-2100
Mailing Address
GABRIEL PENAREDONDO PA-C
PO BOX 5074
SIOUX FALLS, SD 57117-5074
Phone number:
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