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1023670577
KIAN DEI BERTIN
MISSOULA, MT
NPI
1023670577
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2019-07-05
Last Update Date
2019-07-05
Business Address
KIAN DEI BERTIN
32 CAMPUS DR
MISSOULA, MT 59812-7856
Phone number: 406-720-0168
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Mailing Address
KIAN DEI BERTIN
3000 WASHBURN ST APT 11
MISSOULA, MT 59801-7856
Phone number: 406-720-0168
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