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1982900411
DIANA PODLECKI
MISSOULA, MT
NPI
1982900411
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MT 40994)
Enumeration Date
2011-02-01
Last Update Date
2020-05-11
Business Address
DIANA PODLECKI P.A.
601 W SPRUCE ST
MISSOULA, MT 59802-4057
Phone number: 406-721-5600
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Mailing Address
DIANA PODLECKI P.A.
PO BOX 7609
MISSOULA, MT 59807-7609
Phone number: 406-721-5600
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