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Individual

LAVONNE J LITTLE OWL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
100 CHEYENNE AVE, LAME DEER, MT 59043
(406) 477-4477
Mailing address
10110 SOUTH 7650 EAST, CROW/NORTHERN CHEYENNE HOSPITAL, CROW AGENCY, MT 59022
(406) 477-4477

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
27675
MT

Other

Enumeration date
10/08/2010
Last updated
02/25/2011
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