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1427160605
SUSAN MARIE SELBACH
MISSOULA, MT
NPI
1427160605
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Professional Name
SUE MARIE SELBACH
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MT 7659)
Enumeration Date
2006-08-31
Last Update Date
2007-07-08
Business Address
Dr. SUSAN MARIE SELBACH md
2687 PALMER ST SUTIE C
MISSOULA, MT 59808-1710
Phone number: 406-327-0913
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Mailing Address
Dr. SUSAN MARIE SELBACH md
8581 SAINT VRAIN WAY
MISSOULA, MT 59808-9097
Phone number: 406-542-1937
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