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1548866148
ALEXIS BUSTAMANTE
OAKLAND, CA
NPI
1548866148
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2020-12-09
Last Update Date
2021-01-15
Business Address
ALEXIS BUSTAMANTE
401 ROLAND WAY STE 100
OAKLAND, CA 94621-2034
Phone number: 510-746-2800
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Mailing Address
ALEXIS BUSTAMANTE
401 ROLAND WAY STE 100
OAKLAND, CA 94621-2034
Phone number: 510-746-2800
Copy
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