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1356965925
COLE MICHAEL BAUSCH
MISSOULA, MT
NPI
1356965925
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2251X0800X Physical Therapist, Orthopedic
(Licence: MT PTP-PT-TMP-19213)
Enumeration Date
2020-05-30
Last Update Date
2020-05-30
Business Address
COLE MICHAEL BAUSCH
1410 S RESERVE ST
MISSOULA, MT 59801-4758
Phone number: 406-829-9600
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Mailing Address
COLE MICHAEL BAUSCH
1410 S RESERVE ST
MISSOULA, MT 59801-4758
Phone number: 406-829-9600
Copy
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