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1972188225
JACK BENNETT BUSH
MADERA, CA
NPI
1972188225
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2021-03-17
Last Update Date
2021-03-17
Business Address
JACK BENNETT BUSH
1915 HOWARD RD STE B&C
MADERA, CA 93637-5163
Phone number: 559-330-2211
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Mailing Address
JACK BENNETT BUSH
21600 OXNARD ST STE 1800
WOODLAND HILLS, CA 91367-7807
Phone number: 818-345-2345
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