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1033799440
DOUGLAS BAUTISTA SAGASTIZADO
BABYLON, NY
NPI
1033799440
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: NY 031765)
Enumeration Date
2021-04-09
Last Update Date
2021-04-12
Business Address
DOUGLAS BAUTISTA SAGASTIZADO
130 N CARLL AVE
BABYLON, NY 11702-2238
Phone number: 631-433-9502
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Mailing Address
DOUGLAS BAUTISTA SAGASTIZADO
130 N CARLL AVE
BABYLON, NY 11702-2238
Phone number: 631-433-9502
Copy
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