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1033609243
CASEY BAUTISTA
COLUMBIA, SC
NPI
1033609243
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: SC 17-45148)
Enumeration Date
2018-05-14
Last Update Date
2018-05-14
Business Address
CASEY BAUTISTA
1048 WILDWOOD CENTRE DR
COLUMBIA, SC 29229-8420
Phone number: 803-999-3752
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Mailing Address
CASEY BAUTISTA
2580 LIN DO CT
SUMTER, SC 29150-1832
Phone number: 803-905-4427
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