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1255103966
ANTHONY BUSTAMANTE
DAVIS, CA
NPI
1255103966
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2023-10-25
Last Update Date
2023-10-26
Business Address
ANTHONY BUSTAMANTE
1949 5TH ST STE 103
DAVIS, CA 95616-4026
Phone number: 530-753-2566
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Mailing Address
ANTHONY BUSTAMANTE
1608 F ST APT 4
DAVIS, CA 95616-1131
Phone number: 818-290-1882
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