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1124088968
RUDOLPH BUSTAMANTE
CASA GRANDE, AZ
NPI
1124088968
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: AZ 6500)
Enumeration Date
2006-03-24
Last Update Date
2011-10-14
Business Address
Dr. RUDOLPH BUSTAMANTE M.D.
1856 E FLORENCE BLVD
CASA GRANDE, AZ 85122-5303
Phone number: 520-381-0380
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Mailing Address
Dr. RUDOLPH BUSTAMANTE M.D.
PO BOX 10097
CASA GRANDE, AZ 85130-0020
Phone number: 520-836-3446
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