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Individual

JAMIE D BUSS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DT

Contact information

Practice address
209 E GREENWOOD AVE, JACKSONVILLE, IL 62650-3423
(217) 617-5599
Mailing address
209 E GREENWOOD AVE, JACKSONVILLE, IL 62650-3423
(217) 617-5599

Taxonomy

Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary

Other

Enumeration date
01/12/2012
Last updated
01/12/2012
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