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1104230416
TINA KING
BOX ELDER, MT
NPI
1104230416
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MT 1387)
Enumeration Date
2014-06-13
Last Update Date
2014-06-13
Business Address
-- TINA KING LAC
535 CLINIC RD E
BOX ELDER, MT 59521-8826
Phone number: 406-395-4818
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Mailing Address
-- TINA KING LAC
535 CLINIC RD E
BOX ELDER, MT 59521-8826
Phone number: 406-395-4818
Copy
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