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1861074411
ALEXANDRA KATHRYN MIMMACK
SIOUX FALLS, SD
NPI
1861074411
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: SD 1296)
Enumeration Date
2021-04-23
Last Update Date
2024-03-22
Business Address
ALEXANDRA KATHRYN MIMMACK PA-C
4201 S MINNESOTA AVE
SIOUX FALLS, SD 57105-6705
Phone number: 605-335-3349
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Mailing Address
ALEXANDRA KATHRYN MIMMACK PA-C
4017 S CATCHER CT
SIOUX FALLS, SD 57110-6868
Phone number: 605-321-0552
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