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1346297967
AGNES BUSTAMANTE CONSOLACION
SAN FRANCISCO, CA
NPI
1346297967
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA 25333)
Enumeration Date
2006-05-28
Last Update Date
2007-07-08
Business Address
-- AGNES BUSTAMANTE CONSOLACION PT, CHT
1700 CALIFORNIA ST SUITE 450
SAN FRANCISCO, CA 94109-4586
Phone number: 415-359-1444
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Mailing Address
-- AGNES BUSTAMANTE CONSOLACION PT, CHT
2844 SAN JOSE AVE
ALAMEDA, CA 94501-5461
Phone number: 510-769-7407
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