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1952610743
BRIAN ANDREW BUSHMAN
PROVO, UT
NPI
1952610743
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: UT 5127528-4405)
Enumeration Date
2010-09-28
Last Update Date
2014-02-27
Business Address
-- BRIAN ANDREW BUSHMAN APRN
1055 N 300 W STE 205
PROVO, UT 84604-5044
Phone number: 801-374-9100
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Mailing Address
-- BRIAN ANDREW BUSHMAN APRN
1055 N 300 W STE 205
PROVO, UT 84604-5044
Phone number: 801-374-9100
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