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1871017004
ISABELLA GRACE CALLIS
MISSOULA, MT
NPI
1871017004
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MT ATR-LAT-LIC-1557)
Enumeration Date
2017-07-30
Last Update Date
2017-07-30
Business Address
ISABELLA GRACE CALLIS
32 CAMPUS DR
MISSOULA, MT 59812-0003
Phone number: 406-243-5355
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Mailing Address
ISABELLA GRACE CALLIS
1225 S HIGGINS AVE APT A
MISSOULA, MT 59801-4155
Phone number: 605-838-5063
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