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1023776309
JAYSON LINTAG BAUTISTA
HENDERSON, NV
NPI
1023776309
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NV 847774)
Enumeration Date
2021-12-03
Last Update Date
2021-12-03
Business Address
JAYSON LINTAG BAUTISTA APRN
2831 SAINT ROSE PKWY STE 200
HENDERSON, NV 89052-4841
Phone number: 702-600-3721
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Mailing Address
JAYSON LINTAG BAUTISTA APRN
138 SERPENS AVE
LAS VEGAS, NV 89183-5030
Phone number: 714-330-5486
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