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1073103925
JAIME LAWRENCE
POLSON, MT
NPI
1073103925
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: MT NUR-LPN-LIC-143946)
Enumeration Date
2021-01-25
Last Update Date
2021-01-25
Business Address
JAIME LAWRENCE
5 4TH AVE E
POLSON, MT 59860-2117
Phone number: 406-745-3525
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Mailing Address
JAIME LAWRENCE
PO BOX 880
SAINT IGNATIUS, MT 59865-0880
Phone number: 406-745-3525
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