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1124852553
CORRIE L BUSH
AZLE, TX
NPI
1124852553
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
343900000X Non-emergency Medical Transport (VAN)
Additional Taxonomies
347C00000X Private Vehicle
Enumeration Date
2024-08-28
Last Update Date
2024-08-28
Business Address
CORRIE L BUSH
748 TIMBEROAKS DR
AZLE, TX 76020-4831
Phone number: 817-883-6972
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Mailing Address
CORRIE L BUSH
748 TIMBEROAKS DR
AZLE, TX 76020-4831
Phone number: 817-883-6972
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