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1265631576
KIP MATHEW BUSHEY
WASHINGTON, IN
NPI
1265631576
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IN 06001996A)
Enumeration Date
2007-07-16
Last Update Date
2007-07-16
Business Address
Mr. KIP MATHEW BUSHEY PTA
2119 E NATIONAL HWY
WASHINGTON, IN 47501-4507
Phone number: 812-254-3301
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Mailing Address
Mr. KIP MATHEW BUSHEY PTA
2119 E NATIONAL HWY
WASHINGTON, IN 47501-4507
Phone number: 812-254-3301
Copy
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