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1740497056
TIMOTHY BUSH
BATESVILLE, AR
NPI
1740497056
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2007-05-17
Last Update Date
2007-07-08
Business Address
Mr. TIMOTHY BUSH
2040 FITZHUGH ST
BATESVILLE, AR 72501-7409
Phone number: 870-793-3334
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Mailing Address
Mr. TIMOTHY BUSH
2040 FITZHUGH ST
BATESVILLE, AR 72501-7409
Phone number: 870-793-3334
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