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Individual

MRS. NICOLE M BLUBAUGH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ATC, LAT

Contact information

Practice address
2360 MULLAN RD STE D, MISSOULA, MT 59808-1811
(406) 542-4702
Mailing address
7070 MEADOW DR, MISSOULA, MT 59808-9765
(406) 240-3288

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
ATR101
MT

Other

Enumeration date
04/30/2012
Last updated
04/30/2012
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