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1992016679
MIKE KIM TRAN
MISSOULA, MT
NPI
1992016679
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MT 2313)
Enumeration Date
2010-06-28
Last Update Date
2010-06-28
Business Address
-- MIKE KIM TRAN DPT, CSCS
2360 MULLAN RD
MISSOULA, MT 59808-1811
Phone number: 406-542-0808
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Mailing Address
-- MIKE KIM TRAN DPT, CSCS
2360 MULLAN RD
MISSOULA, MT 59808-1811
Phone number:
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