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1053440107
IVETTE C BUSACCO
SANTEE, CA
NPI
1053440107
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA 17406)
Enumeration Date
2007-03-05
Last Update Date
2007-07-08
Business Address
-- IVETTE C BUSACCO PT
9065 EDGEMOOR DR
SANTEE, CA 92071-3037
Phone number: 619-956-2849
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Mailing Address
-- IVETTE C BUSACCO PT
2775 WINDMILL VIEW RD
EL CAJON, CA 92020-1052
Phone number: 619-956-2849
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