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1194321836
PETER JEROLD BIG HAIR
BILLINGS, MT
NPI
1194321836
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MT BBH-LAC-LIC-45219)
Enumeration Date
2020-12-08
Last Update Date
2021-01-14
Business Address
PETER JEROLD BIG HAIR LAC
1230 NORTH 30TH ST
BILLINGS, MT 59101-0126
Phone number: 406-534-4558
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Mailing Address
PETER JEROLD BIG HAIR LAC
1230 NORTH 30TH ST
BILLINGS, MT 59102
Phone number: 406-534-4558
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