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1912505769
ABIGAIL BOSOLUKE
BOZEMAN, MT
NPI
1912505769
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MT MED-PAC-LIC-90444)
Enumeration Date
2020-10-14
Last Update Date
2023-06-21
Business Address
ABIGAIL BOSOLUKE PA-C
316 E BABCOCK ST
BOZEMAN, MT 59715-4710
Phone number: 618-830-0080
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Mailing Address
ABIGAIL BOSOLUKE PA-C
316 E BABCOCK ST
BOZEMAN, MT 59715-4710
Phone number: 406-585-0022
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