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1730532334
JOSHUA MICHAEL BUSH
ACWORTH, GA
NPI
1730532334
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: GA AT002998)
Enumeration Date
2016-07-19
Last Update Date
2016-07-19
Business Address
-- JOSHUA MICHAEL BUSH ATC, LAT
685 BRAIDWOOD TER NW
ACWORTH, GA 30101-3513
Phone number: 678-918-0104
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Mailing Address
-- JOSHUA MICHAEL BUSH ATC, LAT
685 BRAIDWOOD TER NW
ACWORTH, GA 30101-3513
Phone number: 678-918-0104
Copy
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