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1467000554
FOUR O SIX FAMILY PRACTICE LLC
GREAT FALLS, MT
NPI
1467000554
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Entity Type
Organization
Authorized Contact
BOBBY GENE LUCAS
Owner
406-952-0061
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2019-08-31
Last Update Date
2020-01-19
Business Address
FOUR O SIX FAMILY PRACTICE LLC
2517 7TH AVE S STE B2
GREAT FALLS, MT 59405-3033
Phone number: 406-952-0061
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Mailing Address
FOUR O SIX FAMILY PRACTICE LLC
2517 7TH AVE S STE B2
GREAT FALLS, MT 59405-3033
Phone number: 406-952-0061
Copy
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