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1336499938
CODY WAYNE BOHLKE
GREAT FALLS, MT
NPI
1336499938
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1003X Military Health Care Provider, Independent Duty Medical Technicians
Enumeration Date
2012-09-12
Last Update Date
2012-09-12
Business Address
-- CODY WAYNE BOHLKE IDMT
1009 BRIARWOOD CT
GREAT FALLS, MT 59405
Phone number: 406-781-5579
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Mailing Address
-- CODY WAYNE BOHLKE IDMT
1009 BRIARWOOD CT
GREAT FALLS, MT 59405
Phone number: 406-781-5579
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