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1790017226
KEITH A HARBOUR
ELLISTON, MT
NPI
1790017226
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
146L00000X Emergency Medical Technician, Paramedic
(Licence: MT 698)
Enumeration Date
2010-02-09
Last Update Date
2010-02-09
Business Address
-- KEITH A HARBOUR EMT
29 MILE HIGH LN.
ELLISTON, MT 59728-0196
Phone number: 406-422-7185
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Mailing Address
-- KEITH A HARBOUR EMT
PO BOX 196 29 MILE HIGH LN.
ELLISTON, MT 59728-0196
Phone number: 406-422-7185
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