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1487905931
CARL JUSTIN BRISENDINE
KALISPELL, MT
NPI
1487905931
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122400000X Denturist
(Licence: MT 4206)
Enumeration Date
2012-09-24
Last Update Date
2013-06-10
Business Address
Mr. CARL JUSTIN BRISENDINE L.D.
6 SUNSET PLZ SUITE C
KALISPELL, MT 59901-3608
Phone number: 406-752-3733
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Mailing Address
Mr. CARL JUSTIN BRISENDINE L.D.
6 SUNSET PLZ SUITE C
KALISPELL, MT 59901-3608
Phone number: 406-752-3733
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