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1144230368
ANNE MANKTELOW
MISSOULA, MT
NPI
1144230368
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2086S0120X Surgery, Pediatric Surgery
(Licence: MT MT10170)
Enumeration Date
2006-08-09
Last Update Date
2007-07-08
Business Address
-- ANNE MANKTELOW MD
2835 FORT MISSOULA ROAD STE 306 PEDIATRIC SURGERY OF MONTANA
MISSOULA, MT 59804
Phone number: 406-327-4730
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Mailing Address
-- ANNE MANKTELOW MD
PO BOX 16900
MISSOULA, MT 59808
Phone number: 406-327-4620
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