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1982836821
MARK BUSTOS
ALBUQUERQUE, NM
NPI
1982836821
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163WP0808X Registered Nurse, Psych/Mental Health
(Licence: NM R33382)
Enumeration Date
2009-08-11
Last Update Date
2009-08-20
Business Address
-- MARK BUSTOS
2551 COORS BLVD NW
ALBUQUERQUE, NM 87120-1213
Phone number: 505-338-3320
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Mailing Address
-- MARK BUSTOS
2551 COORS BLVD NW
ALBUQUERQUE, NM 87120-1213
Phone number: 505-338-3320
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