JASON WADE BUSHIE

MANKATO, MN
NPI1174545180
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MN  1480)
Enumeration Date2006-07-25
Last Update Date2007-07-08
Business Address
Mr. JASON WADE BUSHIE ATC
135 MYERS FIELDHOUSE
MANKATO, MN 56001-6171
Phone number: 507-389-1161
Mailing Address
Mr. JASON WADE BUSHIE ATC
114 MERLIN CIR
MANKATO, MN 56001-5732
Phone number: 507-345-4360
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