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1982063400
TAIRA PETERSON
SPEARFISH, SD
NPI
1982063400
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2016-02-11
Last Update Date
2016-02-11
Business Address
-- TAIRA PETERSON
623 DAHL RD
SPEARFISH, SD 57783-2782
Phone number: 605-642-2777
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Mailing Address
-- TAIRA PETERSON
350 ELK ST
RAPID CITY, SD 57701-7351
Phone number: 605-343-7262
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