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Organization
AUTHENTIC AGENDA, INC.
Active
Organization
AUTHENTIC AGENDA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN CARROLL (SECRETARY/TREASURER)
(406) 600-2498
Entity
Organization
Contact information
Practice address
386 HAMMOND CREEK RD, CRAZY MOUNTAIN RANCH, CLYDE PARK, MT 59018
(406) 600-2498
Mailing address
1011 BUCKRAKE AVE, BOZEMAN, MT 59718-6029
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
—
NULL
146N00000X
Basic Emergency Medical Technician
Primary
—
—
Other
Enumeration date
10/15/2011
Last updated
10/15/2011
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