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Individual

JAMIE CUSHMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LVN 2

Contact information

Practice address
1860 WALNUT ST, RED BLUFF, CA 96080-3611
(530) 527-5631
Mailing address
1090 E CYPRESS AVE, REDDING, CA 96002-1163

Taxonomy

Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
256229
CA

Other

Enumeration date
10/31/2017
Last updated
10/31/2017
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