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1043290323
MICHELLE MONTGOMERY
PETERSON AFB, CO
NPI
1043290323
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LW0102X Nurse Practitioner, Women's Health
(Licence: MO 2002007463)
Enumeration Date
2006-01-20
Last Update Date
2010-04-13
Business Address
-- MICHELLE MONTGOMERY WHNP
559 VINCENT ST FAMILY PRACTICE CLINIC
PETERSON AFB, CO 80914-1540
Phone number: 719-556-1080
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Mailing Address
-- MICHELLE MONTGOMERY WHNP
559 VINCENT ST FAMILY PRACTICE CLINIC
COLORADO SPRINGS, CO 80914-1541
Phone number: 719-556-1080
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