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1871738336
IGNACIO BUSTOS
FRESNO, CA
NPI
1871738336
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2008-12-11
Last Update Date
2008-12-11
Business Address
-- IGNACIO BUSTOS
11 S TEILMAN AVE
FRESNO, CA 93706-1332
Phone number: 559-488-7539
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Mailing Address
-- IGNACIO BUSTOS
2554 N MAROA AVE APT A
FRESNO, CA 93704-5649
Phone number:
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