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1255978508
MARY COURTNEY BUSHONG
TOMPKINSVILLE, KY
NPI
1255978508
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: KY 14288)
Enumeration Date
2019-12-05
Last Update Date
2019-12-05
Business Address
MARY COURTNEY BUSHONG DPH
709 N MAIN ST
TOMPKINSVILLE, KY 42167-1129
Phone number: 270-407-5045
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Mailing Address
MARY COURTNEY BUSHONG DPH
709 N MAIN ST
TOMPKINSVILLE, KY 42167-1129
Phone number: 270-407-5045
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