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1720418924
JODY LYNN BALCOM-HALL
RAPID CITY, SD
NPI
1720418924
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Other Name
JODY LYNN BALCOM
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: SD SD-LPN P006382)
Enumeration Date
2013-11-25
Last Update Date
2013-11-25
Business Address
-- JODY LYNN BALCOM-HALL LPN
111 NORTH ST
RAPID CITY, SD 57701-1163
Phone number: 605-343-0650
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Mailing Address
-- JODY LYNN BALCOM-HALL LPN
350 ELK ST
RAPID CITY, SD 57701-7351
Phone number: 605-343-7262
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