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1801372479
LONNY DEAN HEINEMANN
SIOUX FALLS, SD
NPI
1801372479
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2100X Nurse Practitioner Acute Care
(Licence: SD CP001393)
Enumeration Date
2018-07-17
Last Update Date
2018-07-17
Business Address
LONNY DEAN HEINEMANN
4500 W 69TH ST
SIOUX FALLS, SD 57108-8148
Phone number: 605-977-7000
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Mailing Address
LONNY DEAN HEINEMANN
3704 W 86TH ST
SIOUX FALLS, SD 57108-6208
Phone number:
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