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1053538884
MATTHEW C. LAKE
KALISPELL, MT
NPI
1053538884
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
111N00000X Chiropractor
(Licence: MT 899)
Enumeration Date
2007-04-20
Last Update Date
2010-10-05
Business Address
Dr. MATTHEW C. LAKE D.C.
505 1ST AVE E
KALISPELL, MT 59901-4939
Phone number: 406-755-1117
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Mailing Address
Dr. MATTHEW C. LAKE D.C.
505 1ST AVE E
KALISPELL, MT 59901-4939
Phone number: 406-755-1117
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