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Individual

MRS. MARIESA LYNN NELSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CSFA

Contact information

Practice address
900 N ORANGE ST, SUITE #106, MISSOULA, MT 59802-2998
(406) 542-7300
(406) 542-0003
Mailing address
900 N ORANGE ST, SUITE #106, MISSOULA, MT 59802-2998
(406) 542-7300
(406) 542-0003

Taxonomy

Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
131878
MT

Other

Enumeration date
02/29/2012
Last updated
02/29/2012
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