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1932413267
HEITH L WADDELL
CUSTER, SD
NPI
1932413267
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: SD 8880)
Enumeration Date
2010-07-28
Last Update Date
2020-03-31
Business Address
Mr. HEITH L WADDELL MD
1041 MONTGOMERY ST
CUSTER, SD 57730-1304
Phone number: 605-673-4150
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Mailing Address
Mr. HEITH L WADDELL MD
PO BOX 517 713 OAK STREET
SUNDANCE, WY 82729-0517
Phone number: 307-283-3501
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