KATHERINE BUSSARD

TUBA CITY, AZ
NPI1578878807
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LX0001X Nurse Practitioner, Obstetrics & Gynecology
(Licence: AZ  AP3730)
Enumeration Date2010-08-11
Last Update Date2011-06-27
Business Address
-- KATHERINE BUSSARD CNM
167 N MAIN STREET
TUBA CITY, AZ 86045
Phone number: 928-283-2501
Mailing Address
-- KATHERINE BUSSARD CNM
4871 E FORK RD
MARSHALL, NC 28753-7117
Phone number: 928-637-8995
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