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Individual

GEORGIA K COLD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NATL BOARD CHT

Contact information

Practice address
1015 W MENDENHALL ST STE A2, BOZEMAN, MT 59715-3213
(406) 586-5515
Mailing address
1015 W MENDENHALL ST STE A2, BOZEMAN, MT 59715-3213
(406) 586-5515

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
F-GC2013020
MT

Other

Enumeration date
02/03/2009
Last updated
02/25/2009
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