PRAIRIE PHOENIX PLLC

FLANDREAU, SD
NPI1942875166
Entity TypeOrganization
Authorized ContactABBEY KITTO
Authorized Official
605-428-3040
Organization Subpart ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
Enumeration Date2021-05-20
Last Update Date2021-05-28
Business Address
PRAIRIE PHOENIX PLLC
120 N WIND ST
FLANDREAU, SD 57028-1245
Phone number: 605-428-3040
Mailing Address
PRAIRIE PHOENIX PLLC
330 W 10TH ST APT 6
DELL RAPIDS, SD 57022-1524
Phone number: 605-428-3040
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