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1053169763
BRIAN BALES
KALISPELL, MT
NPI
1053169763
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MT NUR-APRN-LIC-236621)
Enumeration Date
2024-05-08
Last Update Date
2024-06-28
Business Address
BRIAN BALES
770 W RESERVE DR STE 3
KALISPELL, MT 59901-2158
Phone number: 406-300-4511
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Mailing Address
BRIAN BALES
505 8TH ST W
COLUMBIA FALLS, MT 59912-3842
Phone number: 406-471-6695
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