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1679056006
SHANE P JULIUS
MISSOULA, MT
NPI
1679056006
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2018-09-11
Last Update Date
2018-09-11
Business Address
SHANE P JULIUS
900 N ORANGE ST
MISSOULA, MT 59802-2998
Phone number: 406-207-7249
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Mailing Address
SHANE P JULIUS
900 N ORANGE ST
MISSOULA, MT 59802-2998
Phone number: 406-550-3505
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