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1093184897
MELISSA HAIDLE
MISSOULA, MT
NPI
1093184897
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: MT 3934)
Enumeration Date
2015-09-22
Last Update Date
2020-12-15
Business Address
MELISSA HAIDLE
1301 E BROADWAY ST
MISSOULA, MT 59802-4905
Phone number: 406-721-0680
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Mailing Address
MELISSA HAIDLE
1140 VILLAGE WAY
MISSOULA, MT 59802-2967
Phone number:
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