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1578878807
KATHERINE BUSSARD
TUBA CITY, AZ
NPI
1578878807
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LX0001X Nurse Practitioner, Obstetrics & Gynecology
(Licence: AZ AP3730)
Enumeration Date
2010-08-11
Last Update Date
2011-06-27
Business Address
-- KATHERINE BUSSARD CNM
167 N MAIN STREET
TUBA CITY, AZ 86045
Phone number: 928-283-2501
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Mailing Address
-- KATHERINE BUSSARD CNM
4871 E FORK RD
MARSHALL, NC 28753-7117
Phone number: 928-637-8995
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