Individual
MRS. CRYSTAL DAWN DECOTEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
550 6TH AVE NORTH, WOLF POINT, MT 59201
(406) 653-1641
Mailing address
PO BOX 67, POPLAR, MT 59255-0067
(406) 768-3603
Taxonomy
Speciality
Code
Description
License number
State
246QM0706X
Medical Technologist
Primary
—
—
Other
Enumeration date
01/22/2013
Last updated
01/22/2013
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