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1730389941
JESSE LEE DIRKSEN
SIOUX FALLS, SD
NPI
1730389941
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208600000X Surgery
(Licence: SD 8404)
Additional Taxonomies
208600000X Surgery
(Licence: PA MT189424)
Enumeration Date
2007-07-25
Last Update Date
2013-02-26
Business Address
Dr. JESSE LEE DIRKSEN M.D.
1508 W 22ND ST STE 101
SIOUX FALLS, SD 57105-1514
Phone number: 605-328-3840
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Mailing Address
Dr. JESSE LEE DIRKSEN M.D.
PO BOX 5074
SIOUX FALLS, SD 57117-5074
Phone number: 605-328-6585
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