CRYSTAL LYNN BUSHONG

PRESCOTT, AZ
NPI1508049230
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy320800000X Community Based Residential Treatment Facility, Mental Illness
Enumeration Date2007-12-17
Last Update Date2007-12-17
Business Address
Ms. CRYSTAL LYNN BUSHONG
2105 DEMERSE AVE
PRESCOTT, AZ 86301-1013
Phone number: 928-717-8834
Mailing Address
Ms. CRYSTAL LYNN BUSHONG
2105 DEMERSE AVE
PRESCOTT, AZ 86301-1013
Phone number: 928-717-8834
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