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1861740581
JENNIFER L VANDERBURG
MISSOULA, MT
NPI
1861740581
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
172M00000X Mechanotherapist
(Licence: MT LMT-LMT-LIC-675)
Enumeration Date
2012-08-28
Last Update Date
2012-08-28
Business Address
Mrs. JENNIFER L VANDERBURG LMT
240 N. HIGGINS #11
MISSOULA, MT 59802
Phone number: 406-529-1958
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Mailing Address
Mrs. JENNIFER L VANDERBURG LMT
PO BOX 111
DIXON, MT 59831
Phone number: 406-529-1958
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