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1114142411
CLAYTON IRWIN BROVOLD
POLSON, MT
NPI
1114142411
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
111N00000X Chiropractor
(Licence: MT 392)
Enumeration Date
2007-04-13
Last Update Date
2008-11-17
Business Address
Dr. CLAYTON IRWIN BROVOLD DC
49665 US HIGHWAY 93
POLSON, MT 59860-2301
Phone number: 406-883-4234
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Mailing Address
Dr. CLAYTON IRWIN BROVOLD DC
49665 US HIGHWAY 93
POLSON, MT 59860-2301
Phone number: 406-883-4234
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