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1114326691
JEFF WATERS
MISSOULA, MT
NPI
1114326691
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
247ZC0005X Pathology, Clinical Laboratory Director, Non-physician
Enumeration Date
2014-08-20
Last Update Date
2014-08-20
Business Address
-- JEFF WATERS
2809 GREAT NORTHERN LOOP #200
MISSOULA, MT 59808-1749
Phone number: 406-830-0680
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Mailing Address
-- JEFF WATERS
4265 MUGGLE LN
MISSOULA, MT 59808-5200
Phone number: 406-830-0680
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