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Gypsy Petz

NPI 1427517507 · on the registry since 2019 · sole proprietor

Practice

Address
1218 Bluebell Ln
Custer, SD 57730
Phone
(605) 920-1032

Registry record

Primary taxonomy
101Y00000X
101Y00000X
Also registered as
101YP2500X
Licence states on file
SD, WY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-01-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Dakota