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1831715507
PEGGY DIP BUSTOS
ELK GROVE, CA
NPI
1831715507
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95014603)
Enumeration Date
2020-06-18
Last Update Date
2023-03-20
Business Address
PEGGY DIP BUSTOS FNP
8170 LAGUNA BLVD STE 101
ELK GROVE, CA 95758-7902
Phone number: 916-478-6565
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Mailing Address
PEGGY DIP BUSTOS FNP
8170 LAGUNA BLVD STE 101
ELK GROVE, CA 95758-7902
Phone number: 916-478-6565
Copy
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