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Individual

SAMANTHA MONTAGUE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CPHT

Contact information

Practice address
3871 CHRIVIA RD, LUPTON, MI 48635-8748
(989) 709-8046
Mailing address
3871 CHRIVIA RD, LUPTON, MI 48635-8748
(989) 709-8046

Taxonomy

Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
5303000390
MI

Other

Enumeration date
03/05/2021
Last updated
03/05/2021
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