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1891037065
THERESA A YAZZIE
EAGLE BUTTE, SD
NPI
1891037065
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NM L1741)
Enumeration Date
2013-03-26
Last Update Date
2013-03-26
Business Address
Ms. THERESA A YAZZIE LPN
24276 166TH ST. AIRPORT RD
EAGLE BUTTE, SD 57625
Phone number: 505-860-8927
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Mailing Address
Ms. THERESA A YAZZIE LPN
194 ELK DRIVE
EAGLE BUTTE, SD 57625
Phone number: 505-860-8927
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