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Jody Lynn Balcom-Hall, LPN

Licensed Practical Nurse in Rapid City, SD. Individual provider (NPI-1).

NPI number1720418924
StatusActive
Last updated in NPPESNov 25, 2013

Details

NPI
1720418924
Entity type
Individual (NPI-1)
Name
Jody Lynn Balcom-Hall
Credential
LPN
Sex
Female
Sole proprietor
No
Enumeration date
Nov 25, 2013
Last updated
Nov 25, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
164W00000X Licensed Practical NurseSD-LPN P006382SDYes

Other names

  • Jody Lynn Balcom (Other Name)

Practice location

111 North St
Rapid City, SD 57701-1163

Phone 605-343-0650 · Fax 605-342-3692

Mailing address

350 Elk St
Rapid City, SD 57701-7351

Phone 605-343-7262 · Fax 605-343-7293

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