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1609843168
JUSTINE M. DEROUSSE
KALISPELL, MT
NPI
1609843168
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Former Name
JUSTINE M. PIORKOWSKI
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MT 451)
Enumeration Date
2006-03-03
Last Update Date
2016-02-16
Business Address
Mrs. JUSTINE M. DEROUSSE PA-C
350 HERITAGE WAY SUITE 1100
KALISPELL, MT 59901-3158
Phone number: 406-752-8900
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Mailing Address
Mrs. JUSTINE M. DEROUSSE PA-C
1111 BAKER AVE 1222 HOMESTEADERS WAY
WHITEFISH, MT 59937-2901
Phone number: 406-862-2515
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