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1861980385
CORY BUSHMAN
PROVO, UT
NPI
1861980385
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: UT 9083769-6004)
Enumeration Date
2018-04-30
Last Update Date
2019-09-25
Business Address
CORY BUSHMAN CMHC
455 N UNIVERSITY AVE STE 210
PROVO, UT 84601-2868
Phone number: 801-404-4580
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Mailing Address
CORY BUSHMAN CMHC
455 N UNIVERSITY AVE STE 210
PROVO, UT 84601-2868
Phone number: 801-404-4580
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