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1457847329
LUCAS ETIENNE BONNEVIE
MISSOULA, MT
NPI
1457847329
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2018-07-03
Last Update Date
2018-07-03
Business Address
LUCAS ETIENNE BONNEVIE
32 CAMPUS DR
MISSOULA, MT 59801-4494
Phone number: 207-491-3377
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Mailing Address
LUCAS ETIENNE BONNEVIE
1033 1/2 E BROADWAY ST
MISSOULA, MT 59802-4911
Phone number: 207-491-3377
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