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1396755104
DIANA S BUSTELO
AUSTIN, TX
NPI
1396755104
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2251P0200X Physical Therapist, Pediatrics
(Licence: TX 1144830)
Enumeration Date
2006-08-08
Last Update Date
2007-07-08
Business Address
-- DIANA S BUSTELO PT
12304 BONETA CV
AUSTIN, TX 78729
Phone number: 512-918-0346
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Mailing Address
-- DIANA S BUSTELO PT
12304 BONETA COVE
AUSTIN, TX 78729
Phone number: 512-918-0346
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