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1265637177
WILTEY RUSSELL KENDLE
GREAT FALLS, MT
NPI
1265637177
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2007-06-20
Last Update Date
2007-07-08
Business Address
Mr. WILTEY RUSSELL KENDLE ATC
228 17TH AVE NW
GREAT FALLS, MT 59404-1807
Phone number: 406-268-6223
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Mailing Address
Mr. WILTEY RUSSELL KENDLE ATC
118 WOODLAND ESTATES RD
GREAT FALLS, MT 59404-6405
Phone number: 406-453-9030
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