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1720052624
MARK J SMEDSRUD
SIOUX FALLS, SD
NPI
1720052624
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: SD CR000628)
Enumeration Date
2006-02-15
Last Update Date
2007-10-26
Business Address
-- MARK J SMEDSRUD CRNA
1305 W 18TH ST
SIOUX FALLS, SD 57105-0401
Phone number: 605-333-1000
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Mailing Address
-- MARK J SMEDSRUD CRNA
PO BOX 5053
SIOUX FALLS, SD 57117-5053
Phone number: 605-328-6548
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