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1194265991
MATHEW BUSH
WARREN, OH
NPI
1194265991
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: PA LPN127213.MEDS)
Enumeration Date
2017-02-28
Last Update Date
2017-02-28
Business Address
-- MATHEW BUSH LPN
3120 W MARKET ST
WARREN, OH 44485-3069
Phone number: 330-898-6992
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Mailing Address
-- MATHEW BUSH LPN
320 HIGH ST NE
WARREN, OH 44481-1222
Phone number: 330-394-9090
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