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1033856414
MIGUEL ANGEL BAUTISTA
YAKIMA, WA
NPI
1033856414
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2022-05-17
Last Update Date
2022-05-17
Business Address
MIGUEL ANGEL BAUTISTA CO61191490
2280 SR 821
YAKIMA, WA 98901-1017
Phone number: 509-307-6858
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Mailing Address
MIGUEL ANGEL BAUTISTA CO61191490
2280 SR 821
YAKIMA, WA 98901-1017
Phone number:
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