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Individual

DR. ANGELA CHRISTINE BUSHMAKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LAT, ATC

Contact information

Practice address
14107 STATE ROUTE 165 E, BUCKLEY, WA 98321-9387
(360) 829-2525
(360) 829-2525
Mailing address
14107 STATE ROUTE 165 E, BUCKLEY, WA 98321-9387
(360) 829-2525

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
A1 60035165
WA

Other

Enumeration date
11/30/2009
Last updated
05/11/2020
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