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1225273345
KERRY LYNN MIKKELSON
BILLINGS, MT
NPI
1225273345
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: MT 1120)
Enumeration Date
2008-12-03
Last Update Date
2008-12-03
Business Address
KERRY LYNN MIKKELSON PTA
1233 N 30TH ST
BILLINGS, MT 59101-0127
Phone number: 406-256-7999
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Mailing Address
KERRY LYNN MIKKELSON PTA
5124 MIDDLE VALLEY DR
BILLINGS, MT 59105-5334
Phone number: 406-256-7999
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