YLIEN PHUNG

EAGLE BUTTE, SD
NPI1740524438
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: FL  PS 49141)
Enumeration Date2012-11-19
Last Update Date2012-11-19
Business Address
-- YLIEN PHUNG
24276 166TH STREET
EAGLE BUTTE, SD 57625
Phone number: 605-964-0650
Mailing Address
-- YLIEN PHUNG
24276 166TH ST. CHEYENNE RIVER HEALTH UNIT
EAGLE BUTTE, SD 57625
Phone number:
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