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1174524912
LISA K BUSHNELL
TAOS, NM
NPI
1174524912
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NM CNP01307)
Enumeration Date
2005-08-02
Last Update Date
2023-02-15
Business Address
Miss LISA K BUSHNELL C.F.N.P.
1353 PASEO DEL PUEBLO SUR STE D
TAOS, NM 87571-5958
Phone number: 575-613-8090
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Mailing Address
Miss LISA K BUSHNELL C.F.N.P.
7300 RANCH ROAD 2222, BLDG 1, STE 200
AUSTIN, TX 78730-3255
Phone number: 512-628-0465
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