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1154834943
MAGDALENA BUSTAMANTE
SALT LAKE CITY, UT
NPI
1154834943
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
106S00000X Behavior Technician
Enumeration Date
2017-11-15
Last Update Date
2019-08-19
Business Address
MAGDALENA BUSTAMANTE
344 E 100 S
SALT LAKE CITY, UT 84111
Phone number: 209-329-8820
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Mailing Address
MAGDALENA BUSTAMANTE
344 E 100 S
SALT LAKE CITY, UT 84111-1700
Phone number: 209-329-8820
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