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Individual

DEBRA SOMMER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN, LMT

Contact information

Practice address
113 WEST FRONT STREET, STE 106, MISSOULA, MT 59802
(406) 370-6962
Mailing address
418 EDITH ST, MISSOULA, MT 59801-3914
(406) 721-6962

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
NUR-RN-LIC-15284
MT
225700000X
Massage Therapist
Primary
LMT-LMT-LIC-705
MT

Other

Enumeration date
02/01/2013
Last updated
02/01/2013
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