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1477041994
MARIA WATERS
MISSOULA, MT
NPI
1477041994
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207ZP0102X Pathology Anatomic Pathology & Clinical Pathology
(Licence: MT MED-PHYS-LIC-137629)
Enumeration Date
2018-04-30
Last Update Date
2024-06-06
Business Address
MRS. MARIA WATERS
500 W BROADWAY ST
MISSOULA, MT 59802-4008
Phone number: 509-824-1284
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Mailing Address
MRS. MARIA WATERS
PO BOX 12
LIBERTY LAKE, WA 99019-0012
Phone number: 509-824-1284
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