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1114077757
CARLA BUSTOS
FRESNO, CA
NPI
1114077757
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: CA 258988)
Enumeration Date
2007-01-12
Last Update Date
2007-07-08
Business Address
-- CARLA BUSTOS
4409 E INYO ST
FRESNO, CA 93702-2977
Phone number: 559-453-3806
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Mailing Address
-- CARLA BUSTOS
4409 E INYO ST
FRESNO, CA 93702-2977
Phone number:
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