JACOB LEWIS HEMENWAY

RAPID CITY, SD
NPI1982123725
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
Enumeration Date2017-09-13
Last Update Date2023-01-16
Business Address
JACOB LEWIS HEMENWAY PAC
4141 5TH ST
RAPID CITY, SD 57701-6021
Phone number: 605-341-2424
Mailing Address
JACOB LEWIS HEMENWAY PAC
PO BOX 6850
RAPID CITY, SD 57709-6850
Phone number: 605-341-1414
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