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1194010009
LISA CHAMBERLAIN
MISSOULA, MT
NPI
1194010009
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
174400000X Specialist
(Licence: MT 358)
Enumeration Date
2011-06-20
Last Update Date
2011-06-20
Business Address
-- LISA CHAMBERLAIN LMT
2801 GREAT NORTHERN LOOP
MISSOULA, MT 59808-1745
Phone number: 406-549-9100
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Mailing Address
-- LISA CHAMBERLAIN LMT
1 COLUMBINE RD
MISSOULA, MT 59802-3332
Phone number: 406-546-1656
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