Individual
JESSIE MAY CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
24 S WILLSON AVE STE 3, BOZEMAN, MT 59715-4609
(406) 570-8780
Mailing address
24 S WILLSON AVE STE 3, BOZEMAN, MT 59715-4609
(406) 570-8780
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1002
MT
Other
Enumeration date
04/03/2016
Last updated
04/03/2016
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