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1952808677
ROBERT KELLY BOHANNON
GREAT FALLS, MT
NPI
1952808677
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: MT PTP-PTA-LIC-9399)
Enumeration Date
2018-04-09
Last Update Date
2018-04-09
Business Address
ROBERT KELLY BOHANNON PTA
500 15TH AVE S
GREAT FALLS, MT 59405-4324
Phone number: 406-455-2200
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Mailing Address
ROBERT KELLY BOHANNON PTA
500 15TH AVE S
GREAT FALLS, MT 59405-4324
Phone number: 406-455-2200
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