Individual
BOBBI JO BLACKWEASEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N
Contact information
Practice address
5 4TH AVE E, POLSON, MT 59860
(406) 745-3525
(406) 745-3525
Mailing address
P.O. BOX 880, ST. IGNATIUS, MT 59865
(406) 745-3525
(406) 745-3529
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
46418
MT
Other
Enumeration date
10/21/2016
Last updated
10/21/2016
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