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1013287135
BRANDO BAUTISTA
LOS ANGELES, CA
NPI
1013287135
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA 22778)
Enumeration Date
2012-01-05
Last Update Date
2012-01-05
Business Address
-- BRANDO BAUTISTA
5109 HIGHLAND VIEW AVE
LOS ANGELES, CA 90041-1306
Phone number: 323-258-6856
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Mailing Address
-- BRANDO BAUTISTA
5109 HIGHLAND VIEW AVE
LOS ANGELES, CA 90041-1306
Phone number: 323-258-6856
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