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1457488199
STEVEN ALEXANDER BUFFALO
ST IGNATIUS, MT
NPI
1457488199
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MT 570)
Enumeration Date
2007-02-28
Last Update Date
2007-07-08
Business Address
Mr. STEVEN ALEXANDER BUFFALO
308 MISSION DRIVE
ST IGNATIUS, MT 59865
Phone number: 406-745-4363
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Mailing Address
Mr. STEVEN ALEXANDER BUFFALO
PO BOX 427 308 MISSION DRIVE
ST IGNATIUS, MT 59865
Phone number: 406-745-4363
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