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1124647466
NICKLAUS ALAN EMERSON
COLUMBIA FALLS, MT
NPI
1124647466
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MT PTP-PT-LIC-19164)
Enumeration Date
2020-04-15
Last Update Date
2020-04-22
Business Address
NICKLAUS ALAN EMERSON DPT
906 9TH ST W # A
COLUMBIA FALLS, MT 59912-3806
Phone number: 406-897-2404
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Mailing Address
NICKLAUS ALAN EMERSON DPT
PO BOX 2828
COLUMBIA FALLS, MT 59912-2828
Phone number: 406-897-2404
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