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1447950860
MIRIAM LEAH BUSTAMANTE
DANA POINT, CA
NPI
1447950860
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 88666)
Enumeration Date
2023-03-06
Last Update Date
2023-04-12
Business Address
MIRIAM LEAH BUSTAMANTE LCSW
24311 SANTA CLARA AVE APT 1
DANA POINT, CA 92629-3019
Phone number: 714-200-6219
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Mailing Address
MIRIAM LEAH BUSTAMANTE LCSW
24311 SANTA CLARA AVE APT 1
DANA POINT, CA 92629-3019
Phone number: 714-200-6219
Copy
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