Individual
CHARLOTTE ANN BRURUD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
5790 US HIGHWAY 89, BELT, MT 59412-8422
(406) 799-0253
Mailing address
5790 US HIGHWAY 89, BELT, MT 59412-8422
(406) 799-0253
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
1964
MT
Other
Enumeration date
03/11/2013
Last updated
03/11/2013
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