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Individual

JORDAN UMSTED

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3687 VETERANS DR, FORT HARRISON, MT 59636-9700
(496) 442-6410
Mailing address
PO BOX 1364, HELENA, MT 59624-1364

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
NUR-RN-LIC-126434
MT

Other

Enumeration date
08/06/2018
Last updated
08/06/2018
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