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1760717581
ANGELA ALICE LISBURG
PIERRE, SD
NPI
1760717581
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Former Name
ANGELA ALICE VANDENDRIESSCHE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: SD CP000605)
Enumeration Date
2009-10-13
Last Update Date
2010-11-02
Business Address
-- ANGELA ALICE LISBURG NP-C
801 E SIOUX AVE
PIERRE, SD 57501-3323
Phone number: 605-224-3229
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Mailing Address
-- ANGELA ALICE LISBURG NP-C
801 E SIOUX AVE
PIERRE, SD 57501-3323
Phone number: 605-224-3229
Copy
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