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1033556469
JACQUELINE BAUTISTA
SAN LEANDRO, CA
NPI
1033556469
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2013-05-24
Last Update Date
2013-05-24
Business Address
-- JACQUELINE BAUTISTA MS
1000 SAN LEANDRO BLVD STE 300
SAN LEANDRO, CA 94577-1675
Phone number: 510-293-7048
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Mailing Address
-- JACQUELINE BAUTISTA MS
1000 SAN LEANDRO BLVD STE 300
SAN LEANDRO, CA 94577-1675
Phone number: 510-293-7048
Copy
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