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1316996036
JEFF BUSH
BROOKLYN, NY
NPI
1316996036
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
156FX1800X Technician/Technologist, Optician
(Licence: NY 05027-1)
Enumeration Date
2006-05-09
Last Update Date
2007-07-08
Business Address
-- JEFF BUSH
1311 AVENUE Z
BROOKLYN, NY 11235-3917
Phone number: 718-891-0832
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Mailing Address
-- JEFF BUSH
48 IVANHOE DR
MANALAPAN, NJ 07726-1725
Phone number:
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