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1801166400
MANDY KAY BUSH
ANDERSON, IN
NPI
1801166400
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IN 36001016A)
Enumeration Date
2012-01-12
Last Update Date
2012-01-12
Business Address
Mrs. MANDY KAY BUSH MSEd, ATC/LAT
1100 E 5TH ST
ANDERSON, IN 46012-3462
Phone number: 765-641-4493
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Mailing Address
Mrs. MANDY KAY BUSH MSEd, ATC/LAT
17764 SUNDIAL CT
WESTFIELD, IN 46062-7640
Phone number: 317-379-3191
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