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1528616455
MICHAEL SHANE BUSHMAN
FLORENCE, SC
NPI
1528616455
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: SC 7644)
Enumeration Date
2019-09-04
Last Update Date
2023-06-27
Business Address
MICHAEL SHANE BUSHMAN PT
610 W PALMETTO ST
FLORENCE, SC 29501-4302
Phone number: 843-407-0377
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Mailing Address
MICHAEL SHANE BUSHMAN PT
PO BOX 6526
COLUMBIA, SC 29260-6526
Phone number: 803-693-5040
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