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Individual

MS. CHERYL LYNN BUSH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
5817 17TH AVE N, ST PETERSBURG, FL 33710-5633
(516) 650-8940
Mailing address
5817 17TH AVE N, ST PETERSBURG, FL 33710-5633
(516) 650-8940

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Enumeration date
10/30/2018
Last updated
10/30/2018
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