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Individual

BRANDY BUSTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1311 N DIXIE HWY BLDG A, ELIZABETHTOWN, KY 42701-2621
(270) 734-0506
(270) 737-2293
Mailing address
1311 N DIXIE HWY BLDG A, ELIZABETHTOWN, KY 42701-2621

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
12/03/2013
Last updated
12/03/2013
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