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1710946348
LOWER BRULE AMBULANCE
LOWER BRULE, SD
NPI
1710946348
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Entity Type
Organization
Authorized Contact
OTIS BRENT DOREN
Program Director
605-473-5293
Organization Subpart ?
No
Primary Taxonomy
341600000X Ambulance
(Licence: SD 451)
Enumeration Date
2006-03-22
Last Update Date
2008-03-28
Business Address
LOWER BRULE AMBULANCE
BIA ROUTE 3
LOWER BRULE, SD 57548-0817
Phone number: 605-473-5293
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Mailing Address
LOWER BRULE AMBULANCE
187 OYATE CIRCLE
LOWER BRULE, SD 57548-0187
Phone number: 605-473-5293
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