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1891568606
ELAN BUSTILLOS
SEATTLE, WA
NPI
1891568606
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2023-11-02
Last Update Date
2023-11-02
Business Address
ELAN BUSTILLOS
515 3RD AVE
SEATTLE, WA 98104-2304
Phone number: 206-464-1570
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Mailing Address
ELAN BUSTILLOS
515 3RD AVE
SEATTLE, WA 98104-2304
Phone number:
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