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1023743960
IVAN SCOTT BUSHMAN
PHOENIX, AZ
NPI
1023743960
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: AZ RN183610)
Enumeration Date
2022-07-22
Last Update Date
2022-07-22
Business Address
Mr. IVAN SCOTT BUSHMAN RN
775 E WILLETTA ST
PHOENIX, AZ 85006-2723
Phone number: 480-581-3900
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Mailing Address
Mr. IVAN SCOTT BUSHMAN RN
19044 N LOUSANDRA DR
MARICOPA, AZ 85138-5774
Phone number: 602-369-4670
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