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1386130201
JAN BUSSELL
MARSHALL, TX
NPI
1386130201
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TX 13341)
Enumeration Date
2018-07-03
Last Update Date
2018-07-03
Business Address
JAN BUSSELL
1204 HARPER DR
MARSHALL, TX 75672-5712
Phone number: 512-497-6541
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Mailing Address
JAN BUSSELL
670 SPUR 156
WASKOM, TX 75692-9129
Phone number: 903-687-2586
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