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1922540343
WELLCARE IME, LLC
MISSOULA, MT
NPI
1922540343
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Entity Type
Organization
Authorized Contact
JERE L KOLSTAD
Manager
406-926-6950
Organization Subpart ?
No
Primary Taxonomy
174400000X Specialist
Enumeration Date
2016-11-16
Last Update Date
2016-11-16
Business Address
WELLCARE IME, LLC
2825 FORT MISSOULA RD COMMUNITY BLDG 1, SUITE 101
MISSOULA, MT 59804-7420
Phone number: 406-926-6950
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Mailing Address
WELLCARE IME, LLC
2825 FORT MISSOULA RD COMMUNITY BLDG 1, SUITE 101
MISSOULA, MT 59804-7420
Phone number: 406-926-6950
Copy
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