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Individual

JOYCE DOUGAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
200 S HUBBARD ST, PLAINS, MT 59859-1311
(406) 826-4383
(406) 826-4383
Mailing address
PO BOX 1311, PLAINS, MT 59859-1311
(406) 826-4383
(406) 826-4383

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
245PT
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0000344709
MT
Enumeration date
07/02/2006
Last updated
07/08/2007
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