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1548678592
CONNIE BUSH
GOOD HOPE, GA
NPI
1548678592
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: GA OTA000953)
Enumeration Date
2014-07-22
Last Update Date
2014-07-22
Business Address
-- CONNIE BUSH
200 POPPYFIELD FARM DR
GOOD HOPE, GA 30641-2137
Phone number: 912-245-9637
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Mailing Address
-- CONNIE BUSH
200 POPPYFIELD FARM DR
GOOD HOPE, GA 30641-2137
Phone number: 912-245-9637
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