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1518177757
LISA MARIE BOSTICK
BOZEMAN, MT
NPI
1518177757
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Former Name
LISA MARIE HALL
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2007-05-23
Last Update Date
2011-03-01
Business Address
-- LISA MARIE BOSTICK MS ATC
1871 S 22ND AVE STE 2B
BOZEMAN, MT 59718-7054
Phone number: 406-548-7232
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Mailing Address
-- LISA MARIE BOSTICK MS ATC
2231 REMINGTON WAY APT 105
BOZEMAN, MT 59718-5415
Phone number: 406-548-7232
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