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1689117194
MATEA MICHELLE DEPOE
MISSOULA, MT
NPI
1689117194
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MT ATR-LAT-LIC-1470)
Enumeration Date
2016-12-01
Last Update Date
2016-12-01
Business Address
-- MATEA MICHELLE DEPOE M.S, LAT, ATC
2360 MULLAN RD SUITE D
MISSOULA, MT 59808-1811
Phone number: 406-542-4702
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Mailing Address
-- MATEA MICHELLE DEPOE M.S, LAT, ATC
2200 GREAT NORTHERN AVE APT B16
MISSOULA, MT 59808-1605
Phone number: 406-207-9149
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