TRAVIS JOHN VACA

SIOUX FALLS, SD
NPI1821770835
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: SD  CP002912)
Enumeration Date2023-08-01
Last Update Date2023-08-01
Business Address
TRAVIS JOHN VACA CNP
1325 S CLIFF AVE
SIOUX FALLS, SD 57105-1007
Phone number: 605-322-8000
Mailing Address
TRAVIS JOHN VACA CNP
27056 468TH AVE
TEA, SD 57064-8003
Phone number: 605-212-8161
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