Individual
ABIGAIL BOSOLUKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
316 E BABCOCK ST, BOZEMAN, MT 59715-4710
(618) 830-0080
Mailing address
316 E BABCOCK ST, BOZEMAN, MT 59715-4710
(406) 585-0022
(406) 585-0032
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MED-PAC-LIC-90444
MT
Other
Enumeration date
10/14/2020
Last updated
06/21/2023
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