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1922700277
DORIS DANIELA BUSTOS-CHILDRESS
VANCOUVER, WA
NPI
1922700277
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Former Name
DORIS DANIELA ORTIZ BUSTOS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2023-03-20
Last Update Date
2023-03-20
Business Address
DORIS DANIELA BUSTOS-CHILDRESS
100 E 33RD ST STE 201A
VANCOUVER, WA 98663-2776
Phone number: 360-750-7964
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Mailing Address
DORIS DANIELA BUSTOS-CHILDRESS
100 E 33RD ST STE 201A
VANCOUVER, WA 98663-2776
Phone number: 360-750-7964
Copy
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