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1780700120
CARLOS BUSTAMANTE
LAS CRUCES, NM
NPI
1780700120
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: NM 4394)
Enumeration Date
2007-03-21
Last Update Date
2011-06-08
Business Address
-- CARLOS BUSTAMANTE
301 PERKINS DR STE C
LAS CRUCES, NM 88005-3248
Phone number: 575-523-7243
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Mailing Address
-- CARLOS BUSTAMANTE
301 PERKINS DR STE C
LAS CRUCES, NM 88005-3248
Phone number: 575-523-7243
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