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1831757939
TERESA BUSTAMANTE
MONTVALE, NJ
NPI
1831757939
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LG0600X Nurse Practitioner, Gerontology
(Licence: NJ 26NJ00898100)
Enumeration Date
2019-06-03
Last Update Date
2022-12-27
Business Address
TERESA BUSTAMANTE np-c
225 SUMMIT AVE
MONTVALE, NJ 07645-1523
Phone number: 201-775-7358
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Mailing Address
TERESA BUSTAMANTE np-c
42 CHEROKEE AVE
ALLENDALE, NJ 07401-1305
Phone number: 201-694-3287
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