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1609932037
MICHAEL JON CLOSE
BIGFORK, MT
NPI
1609932037
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MT 1350PT)
Enumeration Date
2006-12-29
Last Update Date
2007-10-30
Business Address
-- MICHAEL JON CLOSE RPT
850 HOLT DRIVE
BIGFORK, MT 59911
Phone number: 406-837-6892
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Mailing Address
-- MICHAEL JON CLOSE RPT
PO BOX 1527
BIGFORK, MT 59911-1527
Phone number: 406-837-6892
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