Individual
DEBORAH BUTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1130 17TH AVE S, GREAT FALLS, MT 59405-4523
(406) 771-4500
Mailing address
655 S WILLOW ST STE 128, MANCHESTER, NH 03103-5705
(800) 995-2673
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2016003838
MO
Other
Enumeration date
06/26/2019
Last updated
06/26/2019
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