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1700256245
BRYAN BUSSONE
GILBERT, AZ
NPI
1700256245
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: AZ 6190)
Enumeration Date
2015-09-27
Last Update Date
2016-01-06
Business Address
-- BRYAN BUSSONE PA-C
641 W WARNER RD
GILBERT, AZ 85233-7266
Phone number: 480-722-9828
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Mailing Address
-- BRYAN BUSSONE PA-C
641 W WARNER RD
GILBERT, AZ 85233-7266
Phone number: 857-200-2508
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