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1326881301
IVAN BUSTOS
LAS VEGAS, NV
NPI
1326881301
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic
Enumeration Date
2024-06-17
Last Update Date
2024-06-17
Business Address
IVAN BUSTOS
9811 W CHARLESTON BLVD STE 2-641
LAS VEGAS, NV 89117-7528
Phone number: 855-864-4322
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Mailing Address
IVAN BUSTOS
9811 W CHARLESTON BLVD STE 2-641
LAS VEGAS, NV 89117-7528
Phone number:
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