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1184156333
STEVEN BOSMA
LEXINGTON, KY
NPI
1184156333
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2017-03-28
Last Update Date
2017-03-28
Business Address
-- STEVEN BOSMA
800 ROSE ST
LEXINGTON, KY 40536-0293
Phone number: 859-257-7616
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Mailing Address
-- STEVEN BOSMA
3565 TATES CREEK RD APT 36
LEXINGTON, KY 40517-2607
Phone number:
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