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Individual

MR. ROBERT PRESTON LANGSTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
FOSTER CARE PROVIDER

Contact information

Practice address
1467 HWY. 2 W., KALISPELL, MT 59901-3415
(406) 257-4999
Mailing address
1467 HWY. 2 W., KALISPELL, MT 59901-3415
(406) 257-4999

Taxonomy

Speciality
Code
Description
License number
State
177F00000X
Lodging Provider
Primary
0025821-001
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0621741
MT
Enumeration date
03/07/2007
Last updated
07/08/2007
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