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1720199227
ANDRES BUSTAMANTE
CHULA VISTA, CA
NPI
1720199227
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: CA A70351)
Enumeration Date
2006-08-31
Last Update Date
2021-12-01
Business Address
ANDRES BUSTAMANTE
227 CHURCH AVE
CHULA VISTA, CA 91910-2702
Phone number: 619-426-9610
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Mailing Address
ANDRES BUSTAMANTE
227 CHURCH AVE
CHULA VISTA, CA 91910-2702
Phone number: 619-426-9610
Copy
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