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Individual

MS. JILL MARIE MONTGOMERY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMP

Contact information

Practice address
3319 BENNETT DR, BELLINGHAM, WA 98225-1115
(360) 670-8155
Mailing address
PO BOX 2982, BELLINGHAM, WA 98227-2982
(360) 670-8155

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA 60064158
WA

Other

Enumeration date
03/25/2009
Last updated
03/25/2009
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