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1568013654
LIBIA BUSTOS
SAN DIEGO, CA
NPI
1568013654
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2019-09-20
Last Update Date
2019-09-20
Business Address
LIBIA BUSTOS SUDRC
3575 PERSHING AVE
SAN DIEGO, CA 92104-3413
Phone number: 619-294-4526
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Mailing Address
LIBIA BUSTOS SUDRC
3575 PERSHING AVE
SAN DIEGO, CA 92104-3413
Phone number: 619-294-4526
Copy
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