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1356693691
NATHAN THOMAS LEBSOCK
MISSOULA, MT
NPI
1356693691
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: MT 2316)
Enumeration Date
2012-10-10
Last Update Date
2015-05-28
Business Address
-- NATHAN THOMAS LEBSOCK
3220 N RESERVE ST
MISSOULA, MT 59808-1556
Phone number: 406-542-0191
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Mailing Address
-- NATHAN THOMAS LEBSOCK
PO BOX 585
FRENCHTOWN, MT 59834-0585
Phone number: 406-239-1523
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