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1679048904
NATHANAEL JAMES BUSH
CHULA VISTA, CA
NPI
1679048904
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA PT295464)
Enumeration Date
2018-10-13
Last Update Date
2018-10-13
Business Address
NATHANAEL JAMES BUSH PT
1020 TIERRA DEL REY STE A-1
CHULA VISTA, CA 91910-7886
Phone number: 619-585-7104
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Mailing Address
NATHANAEL JAMES BUSH PT
3760 CONVOY ST STE 101
SAN DIEGO, CA 92111-3743
Phone number: 888-208-8526
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