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1548929367
KEN BUMKE
MISSOULA, MT
NPI
1548929367
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MT BBH-SWLC-LIC-49297)
Enumeration Date
2021-12-08
Last Update Date
2021-12-08
Business Address
KEN BUMKE
1120 CEDAR ST
MISSOULA, MT 59802-3911
Phone number: 406-541-4673
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Mailing Address
KEN BUMKE
2186 AMITY LN
MISSOULA, MT 59804-5107
Phone number: 406-239-5380
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