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1437554151
VICKI AINSWORTH
BOX ELDER, MT
NPI
1437554151
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
291U00000X Clinical Medical Laboratory
(Licence: MT 5473)
Enumeration Date
2014-10-23
Last Update Date
2014-10-23
Business Address
-- VICKI AINSWORTH
535 CLINIC RD E
BOX ELDER, MT 59521-8826
Phone number: 406-395-4486
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Mailing Address
-- VICKI AINSWORTH
535 CLINIC RD E
BOX ELDER, MT 59521-8826
Phone number: 406-395-4486
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