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1699044693
CHARLENE KAY BOUMA
CONRAD, MT
NPI
1699044693
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
(Licence: MT 1581)
Enumeration Date
2011-12-20
Last Update Date
2011-12-20
Business Address
-- CHARLENE KAY BOUMA PTA
805 SUNSET BLVD
CONRAD, MT 59425-1717
Phone number: 406-271-2295
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Mailing Address
-- CHARLENE KAY BOUMA PTA
305 S DAKOTA ST
CONRAD, MT 59425-2414
Phone number: 406-278-7139
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