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1558670976
GASTON LUIS BUSTOS
FORT LAUDERDALE, FL
NPI
1558670976
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL MH 9213)
Enumeration Date
2010-10-04
Last Update Date
2010-10-04
Business Address
Dr. GASTON LUIS BUSTOS Ph.D., LMHC
3521 W BROWARD BLVD FL 3
FORT LAUDERDALE, FL 33312-1048
Phone number: 954-587-1008
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Mailing Address
Dr. GASTON LUIS BUSTOS Ph.D., LMHC
4212 VAN BUREN ST
HOLLYWOOD, FL 33021-7236
Phone number: 954-966-9448
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