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1962586370
JACK H AVERY
HELENA, MT
NPI
1962586370
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
247100000X Radiologic Technologist
(Licence: MT 1019)
Enumeration Date
2006-10-24
Last Update Date
2007-11-16
Business Address
-- JACK H AVERY RT (R) (MRI)(QM)(CT)
3510 PTARMIGAN LN
HELENA, MT 59602-0553
Phone number: 406-449-3750
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Mailing Address
-- JACK H AVERY RT (R) (MRI)(QM)(CT)
PO BOX 5179
HELENA, MT 59604-5179
Phone number: 406-449-3750
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