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1497840839
ALFONSO BUSTAMANTE
SANTA ANA, CA
NPI
1497840839
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CA PSY17114)
Enumeration Date
2006-10-03
Last Update Date
2011-03-11
Business Address
Dr. ALFONSO BUSTAMANTE Psy.D.
1801 PARK COURT PL SUITE E 102
SANTA ANA, CA 92701-5002
Phone number: 714-724-7412
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Mailing Address
Dr. ALFONSO BUSTAMANTE Psy.D.
1801 PARK COURT PL SUITE E 102
SANTA ANA, CA 92701-5002
Phone number: 714-724-7412
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