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Organization · Primary Care Nurse Practitioner · Missoula, MT

NPI
1982917167
Type
Organization (Type 2)
Primary specialty
Primary Care Nurse Practitioner (Nurse Practitioner)
Specialty group
Physician Assistants & Advanced Practice Nursing Providers
Taxonomy code
363LP2300X
License number
76552 (MT)
Enumerated
2010-07-16
Last updated
2022-07-21
Practice location
1120 Cedar St
Missoula, MT 59802-3911
(406) 721-2537

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