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1871706051
DAVID BUSSO
BELLEVILLE, IL
NPI
1871706051
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: MO 061688)
Enumeration Date
2007-05-07
Last Update Date
2008-03-24
Business Address
-- DAVID BUSSO CRNA
28 N 64TH ST
BELLEVILLE, IL 62223-3808
Phone number: 314-991-0985
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Mailing Address
-- DAVID BUSSO CRNA
PO BOX 822344
PHILADELPHIA, PA 19182-2344
Phone number: 314-991-0985
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