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1790066363
J R ANESTHESIA PROF LLC
RAPID CITY, SD
NPI
1790066363
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Entity Type
Organization
Authorized Contact
BARRY J DEGEN
Owner
605-381-5104
Organization Subpart ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
Enumeration Date
2011-09-08
Last Update Date
2020-01-16
Business Address
J R ANESTHESIA PROF LLC
3615 5TH ST 100
RAPID CITY, SD 57701-6014
Phone number: 605-343-6714
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Mailing Address
J R ANESTHESIA PROF LLC
2014 HARNEY DR
RAPID CITY, SD 57702-5113
Phone number: 605-381-5104
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