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1144718503
CHELSEA L BUSTAMANTE
MOUNT DORA, FL
NPI
1144718503
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Former Name
CHELSEA L WALLACE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL ARNP9330519)
Enumeration Date
2018-05-01
Last Update Date
2022-12-23
Business Address
CHELSEA L BUSTAMANTE APRN
1945 BAY RD
MOUNT DORA, FL 32757-2105
Phone number: 352-483-5633
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Mailing Address
CHELSEA L BUSTAMANTE APRN
5116 TEMPIC DR
MOUNT DORA, FL 32757-8033
Phone number: 352-551-6209
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