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1306382171
LISA M BUSH
PHILADELPHIA, PA
NPI
1306382171
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: PA SP017336)
Enumeration Date
2017-01-17
Last Update Date
2023-02-13
Business Address
Mrs. LISA M BUSH CRNP
37 S 40TH ST
PHILADELPHIA, PA 19104-3042
Phone number: 215-444-7470
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Mailing Address
Mrs. LISA M BUSH CRNP
PO BOX 746722
ATLANTA, GA 30374-6722
Phone number:
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