Connie Bush

NPI #1609277706 in Broken Arrow, Oklahoma

Provider Information

NPI Number: 1609277706
Entity Type: Individual
Name: Connie Bush
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Technician
Enumeration Date: Sep 8, 2014
Last Updated: Sep 8, 2014

Practice Location

Address: 3025 W OAKLAND ST
City: Broken Arrow
State: Oklahoma
ZIP Code: 74012-9524
Phone: (918) 230-3970

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician	374700000X	Primary

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