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1316501539
DIANE BASURTO
IRVINE, CA
NPI
1316501539
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: CA 893310)
Enumeration Date
2019-04-23
Last Update Date
2019-04-23
Business Address
DIANE BASURTO RD
19722 MACARTHUR BLVD
IRVINE, CA 92612-2404
Phone number: 949-824-9002
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Mailing Address
DIANE BASURTO RD
19722 MACARTHUR BLVD
IRVINE, CA 92612-2404
Phone number: 949-824-9002
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