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Individual

MR. JIM FORD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
510 DEARBORN AVE, HELENA, MT 59601-2761
(406) 439-2108
Mailing address
510 DEARBORN AVE, HELENA, MT 59601-2761
(406) 439-2108

Taxonomy

Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
0107219634123
MT

Other

Enumeration date
09/19/2024
Last updated
09/19/2024
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