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1407987548
BLUE MOUNTAIN CLINIC, INC.
MISSOULA, MT
NPI
1407987548
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Entity Type
Organization
Authorized Contact
ANNIE HANSEN
Executive Director
406-721-1646
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MT 9607)
Enumeration Date
2007-03-08
Last Update Date
2016-05-24
Business Address
BLUE MOUNTAIN CLINIC, INC.
610 N CALIFORNIA ST
MISSOULA, MT 59802-3950
Phone number: 406-721-1946
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Mailing Address
BLUE MOUNTAIN CLINIC, INC.
610 N CALIFORNIA ST
MISSOULA, MT 59802-3950
Phone number: 406-721-1946
Copy
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