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1679805188
IVAR BUSTAMANTE MILANA
MURRIETA, CA
NPI
1679805188
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA 29606)
Enumeration Date
2010-02-08
Last Update Date
2010-02-08
Business Address
Mr. IVAR BUSTAMANTE MILANA RPT
29198 HYDRANGEA ST
MURRIETA, CA 92563-4419
Phone number: 951-672-0430
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Mailing Address
Mr. IVAR BUSTAMANTE MILANA RPT
29198 HYDRANGEA ST
MURRIETA, CA 92563-4419
Phone number: 951-672-0430
Copy
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