Individual
MARY MCDONAGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
710 S ATLANTIC ST, DILLON, MT 59725-3511
(617) 283-8509
Mailing address
100 W GLENDALE ST APT 2, DILLON, MT 59725-2478
(617) 283-8509
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
ATR-LAT-LIC-1225
MT
Other
Enumeration date
04/02/2016
Last updated
04/02/2016
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