Provider Information for 1073840260
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BRENDA MICHELLE LINDSAY NOUR Ph.D.
Sex: Female
NPI: 1073840260
Last Updated: 2018-10-11
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1073840260 | ||||||||
| Enumeration Date | 2009-11-09 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 4400 W 69TH ST STE 1500 SIOUX FALLS, SD 57108-8171 United States Phone: 605-480-1482 | Fax: | ||||||||
| Primary Practice Address | 4400 W 69TH ST STE 1500 SIOUX FALLS, SD 57108-8171 United States Phone: 605-480-1482 | Fax: | ||||||||
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