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    October 22, 2018
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James Wagner, MD, and Betsy VanGenderen, CNP Welcome Rose Marie Hoiten, CNP Obstetrics/Gynecology Dr. James Wagner and Betsy VanGenderen, CNP, proudly Avera welcome Rose Marie Hoiten, CNP, to the Avera Medical Group team, which provides complete obstetric and gynecological care to women of all ages. This Mitchell-based team works together to offer a variety of women's health services, including routine exams, pre- and postnatal care, labor and delivery services, the management of gynecologic 605-995-6350 conditions and menopausal symptoms and more. Medical Group Avera Medical Group Obstetrics & Gynecology 625 N. Foster St., Suite 107 Mitchell, SD 57301 Avera.org/doctors Schedule an appointment today