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1952928756
PELAGIE MCKENZIE JEWETT
EAGLE BUTTE, SD
NPI
1952928756
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
376K00000X Nurse's Aide
(Licence: SD A049898)
Enumeration Date
2020-06-29
Last Update Date
2020-06-29
Business Address
PELAGIE MCKENZIE JEWETT CNA
24276 166TH STREET AIRPORT ROAD
EAGLE BUTTE, SD 57625
Phone number: 605-850-8813
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Mailing Address
PELAGIE MCKENZIE JEWETT CNA
24276 166TH STREET AIRPORT ROAD
EAGLE BUTTE, SD 57625
Phone number: 605-850-8813
Copy
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