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PATRICIA K SMTIH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
107 H STREET EAST, DHHS, IHS, POPLAR, MT 59255-0067
(406) 768-3491
(406) 768-5109
Mailing address
P.O. BOX 67, POPLAR, MT 59255-0067
(406) 768-3491
(406) 768-5109

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
31280
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2210068
MT
Enumeration date
11/20/2009
Last updated
11/20/2009
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