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1720804958
MAYRA BUSTAMANTE
YAKIMA, WA
NPI
1720804958
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CO61586344)
Enumeration Date
2024-12-03
Last Update Date
2024-12-03
Business Address
MAYRA BUSTAMANTE CO61586344
613 SUPERIOR LN
YAKIMA, WA 98902-1623
Phone number: 509-853-4151
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Mailing Address
MAYRA BUSTAMANTE CO61586344
613 SUPERIOR LN
YAKIMA, WA 98902-1623
Phone number: 509-853-4151
Copy
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