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1851612337
LARISSA BENNIS
BROOKINGS, SD
NPI
1851612337
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207V00000X Obstetrics & Gynecology
(Licence: SD 9140)
Enumeration Date
2010-06-18
Last Update Date
2019-06-27
Business Address
LARISSA BENNIS MD
310 22ND AVE
BROOKINGS, SD 57006-2474
Phone number: 605-696-2700
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Mailing Address
LARISSA BENNIS MD
310 22ND AVE
BROOKINGS, SD 57006-2474
Phone number: 605-696-2700
Copy
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