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1316663586
BRIAN D BUSH
MONROE, LA
NPI
1316663586
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2022-10-18
Last Update Date
2022-10-18
Business Address
BRIAN D BUSH
1761 N 19TH ST
MONROE, LA 71201-4554
Phone number: 318-509-8073
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Mailing Address
BRIAN D BUSH
1761 N 19TH ST
MONROE, LA 71201-4554
Phone number: 318-509-8073
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