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1104091396
BRENDA JEAN BUSTAMANTE
CHICO, CA
NPI
1104091396
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: CA 9283)
Enumeration Date
2008-04-28
Last Update Date
2008-04-28
Business Address
-- BRENDA JEAN BUSTAMANTE
375 COHASSET RD
CHICO, CA 95926-2211
Phone number: 530-343-5595
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Mailing Address
-- BRENDA JEAN BUSTAMANTE
12135 CENTERVILLE RD
CHICO, CA 95928-8824
Phone number: 530-342-3411
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