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1467717744
NICOLAS BUSTAMANTE
HERSHEY, PA
NPI
1467717744
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: PA MT202864)
Enumeration Date
2012-07-12
Last Update Date
2012-07-12
Business Address
-- NICOLAS BUSTAMANTE M.D.
500 UNIVERSITY DR FAMILY AND COMMUNITY MEDICINE
HERSHEY, PA 17033-2360
Phone number: 717-270-1949
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Mailing Address
-- NICOLAS BUSTAMANTE M.D.
500 UNIVERSITY DR FAMILY AND COMMUNITY MEDICINE
HERSHEY, PA 17033-2360
Phone number: 717-270-1949
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