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Individual

MRS. KATHERINE GERTRUDE CHRISTECK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RD

Contact information

Practice address
30 13TH ST, HAVRE, MT 59501-5222
(406) 265-2211
(406) 254-1651
Mailing address
PO BOX 1231, HAVRE, MT 59501-1231
(406) 265-2211
(406) 265-1651

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
197
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0000298398
BLUE CROSS BLUE SHIELD
MT
05
0280687
MT
Enumeration date
03/29/2007
Last updated
02/14/2010
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