Individual
MR. HAROLD JEANOTTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
100 AVENUE CHEYENNE, BOX 70, LAME DEER, MT 59043
(406) 477-4400
Mailing address
RR 1 BOX 127A, SILESIA, MT 59041-9709
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
296
MT
Other
Enumeration date
05/15/2007
Last updated
07/08/2007
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