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1902074396
JOHN V BUSTAMANTE
HOLLISTER, CA
NPI
1902074396
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2008-02-19
Last Update Date
2011-10-13
Business Address
-- JOHN V BUSTAMANTE
1131 SAN FELIPE RD
HOLLISTER, CA 95023-2800
Phone number: 831-636-4020
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Mailing Address
-- JOHN V BUSTAMANTE
644 WILSON ST
SALINAS, CA 93901-1327
Phone number: 831-905-6604
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