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Individual

MS. KARIN N. STALLARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA.AC

Contact information

Practice address
315 S 4TH ST E, MISSOULA, MT 59801-2744
(406) 644-2547
Mailing address
53950 MARSH CREEK RD, CHARLO, MT 59824-9740
(406) 644-2547

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
133
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
285658
BLUE CROSS BLUE SHIELD
MT
Enumeration date
01/09/2009
Last updated
01/09/2009
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