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1982421442
ALLEN BUSTOS
SAN MATEO, CA
NPI
1982421442
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: 19030)
Enumeration Date
2024-09-25
Last Update Date
2024-09-25
Business Address
ALLEN BUSTOS
202 E BELLEVUE AVE
SAN MATEO, CA 94401-2305
Phone number: 650-343-8401
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Mailing Address
ALLEN BUSTOS
202 E BELLEVUE AVE
SAN MATEO, CA 94401-2305
Phone number: 650-343-8401
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