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1730207952
MARVIN LEE BOUSKA
RAPID CITY, SD
NPI
1730207952
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: SD 191)
Enumeration Date
2007-03-26
Last Update Date
2013-04-25
Business Address
-- MARVIN LEE BOUSKA MS
1818 W FULTON ST SUITE 201
RAPID CITY, SD 57702-4377
Phone number: 605-348-6500
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Mailing Address
-- MARVIN LEE BOUSKA MS
1818 W FULTON ST SUITE 201
RAPID CITY, SD 57702
Phone number:
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