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1629161377
SHIRLEY MATTIS BUSH
GASTONIA, NY
NPI
1629161377
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367A00000X Advanced Practice Midwife
(Licence: NC 205)
Enumeration Date
2006-10-02
Last Update Date
2008-10-06
Business Address
Ms. SHIRLEY MATTIS BUSH CNM
1527 LAVINGTON CT
GASTONIA, NY 28056
Phone number: 704-862-0374
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Mailing Address
Ms. SHIRLEY MATTIS BUSH CNM
1527 LAVINGTON CT
GASTONIA, NY 28056
Phone number:
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