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1952730574
JEFFREY BARILLA
MISSOULA, MT
NPI
1952730574
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: MT LMT-LMT-LIC-3118)
Enumeration Date
2013-11-04
Last Update Date
2013-11-04
Business Address
-- JEFFREY BARILLA LMT
1116 S RUSSELL ST
MISSOULA, MT 59801-3511
Phone number: 406-541-1525
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Mailing Address
-- JEFFREY BARILLA LMT
1116 S RUSSELL ST
MISSOULA, MT 59801-3511
Phone number: 406-541-1525
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