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1477149904
ROMAN BUSTAMANTE
SAN ANTONIO, TX
NPI
1477149904
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
253Z00000X In Home Supportive Care
Additional Taxonomies
374U00000X Home Health Aide
Enumeration Date
2020-12-18
Last Update Date
2020-12-18
Business Address
ROMAN BUSTAMANTE
11003 OAKTREE PARK
SAN ANTONIO, TX 78249-4440
Phone number: 210-727-1899
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Mailing Address
ROMAN BUSTAMANTE
11003 OAKTREE PARK
SAN ANTONIO, TX 78249-4440
Phone number: 210-727-1899
Copy
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