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1326022856
LISA BUSH
SAINT LOUIS, MO
NPI
1326022856
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: MO 015217)
Enumeration Date
2005-11-29
Last Update Date
2007-07-08
Business Address
Ms. LISA BUSH Dentist
401 HOLLY HILLS AVE
SAINT LOUIS, MO 63111-2410
Phone number: 314-481-1615
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Mailing Address
Ms. LISA BUSH Dentist
401 HOLLY HILLS AVE
SAINT LOUIS, MO 63111-2410
Phone number: 314-481-1615
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