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1629083506
SUSAN E BODURTHA
KALISPELL, MT
NPI
1629083506
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult
(Licence: MT RN12218)
Enumeration Date
2006-07-29
Last Update Date
2007-07-09
Business Address
-- SUSAN E BODURTHA RN, CNS
410 WINDWARD WAY
KALISPELL, MT 59901-2680
Phone number: 406-257-1336
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Mailing Address
-- SUSAN E BODURTHA RN, CNS
T-9 FORT MISSOULA
MISSOULA, MT 59804-7202
Phone number: 406-532-8400
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