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1285350587
REX BUSTAMAMNTE
DETROIT, MI
NPI
1285350587
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163WM0705X Registered Nurse, Medical-Surgical
(Licence: MI 4704233790)
Enumeration Date
2022-10-18
Last Update Date
2022-10-18
Business Address
REX BUSTAMAMNTE
4646 JOHN R ST
DETROIT, MI 48201-1916
Phone number: 313-576-1000
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Mailing Address
REX BUSTAMAMNTE
4646 JOHN R ST
DETROIT, MI 48201-1916
Phone number:
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