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Individual
HALLY BUSH
Active
Individual
HALLY BUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
4704235554
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4704235554
REGISTERED NURSE LICENSE
MI
Enumeration date
05/11/2013
Last updated
05/11/2013
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