| NPI | 1992309579 |
|---|---|
| Doing Business As | BULL MOOSE LODGE |
| Entity Type | Organization |
| Authorized Contact | JULINE CHRISTOFFERSON President 307-654-7594 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174200000X Meals |
| Enumeration Date | 2020-11-24 |
| Last Update Date | 2020-11-24 |