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1396799524
SUSAN E IVANKOVICH
COLUMBUS, MT
NPI
1396799524
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Former Name
SUSAN AHLQUIST
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: MT 35802)
Enumeration Date
2006-05-20
Last Update Date
2015-12-03
Business Address
-- SUSAN E IVANKOVICH PA-C
710 11TH ST N
COLUMBUS, MT 59019-7215
Phone number: 406-322-1000
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Mailing Address
-- SUSAN E IVANKOVICH PA-C
PO BOX 959
COLUMBUS, MT 59019-0959
Phone number: 406-322-1000
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