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1114037520
JUDY LYNN BUSE
MELBOURNE, FL
NPI
1114037520
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
261QA1903X Clinic/Center, Ambulatory Surgical
Enumeration Date
2006-08-30
Last Update Date
2007-07-08
Business Address
-- JUDY LYNN BUSE CRNA
1995 W NASA BLVD SUITE 200
MELBOURNE, FL 32904-2300
Phone number: 321-722-4443
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Mailing Address
-- JUDY LYNN BUSE CRNA
405 HIAWATHA WAY
MELBOURNE BEACH, FL 32951-3539
Phone number: 321-728-2108
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