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1114457983
IRMA F BUSTAMANTE
PACOIMA, CA
NPI
1114457983
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2017-06-14
Last Update Date
2017-06-14
Business Address
IRMA F BUSTAMANTE
11643 GLENOAKS BLVD.
PACOIMA, CA 91331
Phone number: 818-897-2609
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Mailing Address
IRMA F BUSTAMANTE
4760 S. SEPULVEDA BLVD.
CULVER CITY, CA 90230
Phone number: 310-390-6612
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