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Individual

MELISSA ANN MATEJOVSKY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
107 H STREET, POPLAR, MT 59255
(406) 768-2159
Mailing address
411 DAWSON STREET, WOLF POINT, MT 59201
(406) 768-2159

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN33066
MT

Other

Enumeration date
01/24/2011
Last updated
01/24/2011
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