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Individual

SUSAN E BODURTHA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN, CNS

Contact information

Practice address
410 WINDWARD WAY, KALISPELL, MT 59901-2680
(406) 257-1336
(406) 257-1353
Mailing address
T-9 FORT MISSOULA, MISSOULA, MT 59804-7202
(406) 532-8400

Taxonomy

Speciality
Code
Description
License number
State
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
Primary
RN12218
MT

Other

Enumeration date
07/29/2006
Last updated
07/09/2007
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