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1902960438
JACKIE BUSH
PHOENIX, AZ
NPI
1902960438
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WC0200X Registered Nurse, Critical Care Medicine
(Licence: AZ RN135732)
Enumeration Date
2006-12-20
Last Update Date
2007-07-08
Business Address
Ms. JACKIE BUSH RN
4212 N 16TH ST
PHOENIX, AZ 85016-5319
Phone number: 602-263-1511
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Mailing Address
Ms. JACKIE BUSH RN
4212 N 16TH ST
PHOENIX, AZ 85016-5319
Phone number: 602-263-1511
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