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1720690423
DAVID A. BUSTOS
ESPANOLA, NM
NPI
1720690423
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
343900000X Non-emergency Medical Transport (VAN)
Additional Taxonomies
344600000X Taxi
Enumeration Date
2020-08-24
Last Update Date
2020-08-24
Business Address
DAVID A. BUSTOS
1736 CALLE CULEBRA
ESPANOLA, NM 87532
Phone number: 505-753-0022
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Mailing Address
DAVID A. BUSTOS
PO BOX 1001
SANTA CRUZ, NM 87567-1001
Phone number: 505-753-0022
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