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1598547937
RICARDO A BUSTAMANTE
EL PASO, TX
NPI
1598547937
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX 1130655)
Enumeration Date
2023-10-19
Last Update Date
2023-10-19
Business Address
RICARDO A BUSTAMANTE NP
12534 BREEDER CUP WAY
EL PASO, TX 79928-2274
Phone number: 915-204-3736
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Mailing Address
RICARDO A BUSTAMANTE NP
12534 BREEDER CUP WAY
EL PASO, TX 79928-2274
Phone number: 915-204-3736
Copy
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