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1790510170
ANA BUSTAMANTE LAUE
TRACY, CA
NPI
1790510170
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 124992)
Enumeration Date
2024-09-04
Last Update Date
2024-09-04
Business Address
ANA BUSTAMANTE LAUE
2185 W GRANT LINE RD
TRACY, CA 95377-7309
Phone number: 209-839-3200
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Mailing Address
ANA BUSTAMANTE LAUE
945 CENTRE COURT DR
TRACY, CA 95376-4910
Phone number: 650-544-7545
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