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1669790200
KATIE R. LAKE
ST IGNATIUS, MT
NPI
1669790200
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Former Name
KATIE R. CHEFF
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
247100000X Radiologic Technologist
(Licence: MT 2969)
Enumeration Date
2010-05-06
Last Update Date
2010-05-06
Business Address
-- KATIE R. LAKE
308 MISSION DRIVE
ST IGNATIUS, MT 59864
Phone number: 406-745-3575
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Mailing Address
-- KATIE R. LAKE
P.O. BOX 880
ST IGNATIUS, MT 59865
Phone number: 406-745-3525
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