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1033464938
JACK C BUSHMAN
MONTGOMERY, AL
NPI
1033464938
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: AL 5931)
Enumeration Date
2012-07-17
Last Update Date
2012-07-17
Business Address
Dr. JACK C BUSHMAN DMD
3150 ZELDA CT
MONTGOMERY, AL 36106-2607
Phone number: 334-281-2451
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Mailing Address
Dr. JACK C BUSHMAN DMD
3150 ZELDA CT
MONTGOMERY, AL 36106-2607
Phone number: 334-281-2451
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