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Individual

JESSICA PASKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MAT, LAT

Contact information

Practice address
2360 MULLAN RD STE C, MISSOULA, MT 59808-1811
(406) 721-4436
Mailing address
PO BOX 197, DRUMMOND, MT 59832-0197

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
ATR-LAT-LIC-1452
MT

Other

Enumeration date
08/19/2016
Last updated
08/19/2016
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