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1528050861
NED B BUSHNELL
PROVO, UT
NPI
1528050861
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: UT 115470-2401)
Enumeration Date
2005-08-22
Last Update Date
2010-07-26
Business Address
-- NED B BUSHNELL PT
1067 N 500 W BLDG B
PROVO, UT 84604-3305
Phone number: 801-370-9981
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Mailing Address
-- NED B BUSHNELL PT
1067 N 500 W BLDG B
PROVO, UT 84604-3305
Phone number: 801-370-9981
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