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1043294572
TED B. LAINE
MISSOULA, MT
NPI
1043294572
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: MT 4247)
Enumeration Date
2005-11-29
Last Update Date
2007-07-08
Business Address
-- TED B. LAINE M.D.
2825 FORT MISSOULA RD STE 201
MISSOULA, MT 59804-7420
Phone number: 406-721-5566
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Mailing Address
-- TED B. LAINE M.D.
2825 FORT MISSOULA RD STE 201
MISSOULA, MT 59804-7420
Phone number: 406-721-5566
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