BRIAN BUSH

CONWAY, AR
NPI1417220773
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2012-02-17
Last Update Date2012-02-17
Business Address
-- BRIAN BUSH
1014 MAIN ST
CONWAY, AR 72032-5426
Phone number: 501-336-0511
Mailing Address
-- BRIAN BUSH
1014 MAIN ST
CONWAY, AR 72032-5426
Phone number: 501-336-0511
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