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1649012386
KARISSA BUSTAMANTE
GLENDALE, AZ
NPI
1649012386
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2024-06-12
Last Update Date
2024-08-16
Business Address
KARISSA BUSTAMANTE PA
11851 N 51ST AVE STE B110
GLENDALE, AZ 85304-2823
Phone number: 480-882-4545
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Mailing Address
KARISSA BUSTAMANTE PA
7500 N DREAMY DRAW DR STE 145
PHOENIX, AZ 85020-4668
Phone number: 480-882-4545
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