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Individual

KARLY NIEMANN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
SKAGGS BLDG 32 CAMPUS DR, MISSOULA, MT 59812-0001
(406) 243-4341
Mailing address
204 E PINE ST APT 18, MISSOULA, MT 59802-4542

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary

Other

Enumeration date
07/06/2020
Last updated
07/06/2020
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