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Kassidy Bustamante
NPI 1588426639 · on the registry since 2024
Practice
- Address
- 750 S 43rd St Apt 622
Grand Forks, ND 58201 - Phone
- (701) 188-5136
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 376K00000X
376K00000X
- Licence states on file
- ND
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-01-24
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Dakota