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1376948125
CARLA MCCOLLY
MISSOULA, MT
NPI
1376948125
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: MT DEN-RDH-LIC-5766)
Enumeration Date
2014-10-22
Last Update Date
2014-10-22
Business Address
-- CARLA MCCOLLY RDH
1600 ST ANDREWS WAY
MISSOULA, MT 59808-8681
Phone number: 208-699-4297
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Mailing Address
-- CARLA MCCOLLY RDH
1600 ST ANDREWS WAY
MISSOULA, MT 59808-8681
Phone number:
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