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Individual
KAITLYN BUSHMAN
Active
Individual
KAITLYN BUSHMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
11415562-3102
UT
Other
Enumeration date
08/11/2026
Last updated
08/11/2026
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