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1043536105
PERCIVAL BAUTISTA
BALTIMORE, MD
NPI
1043536105
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MD 21938)
Enumeration Date
2010-04-14
Last Update Date
2010-04-14
Business Address
-- PERCIVAL BAUTISTA
2200 KERNAN DR
BALTIMORE, MD 21207-6665
Phone number: 410-448-6310
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Mailing Address
-- PERCIVAL BAUTISTA
2200 KERNAN DR
BALTIMORE, MD 21207-6665
Phone number: 410-448-6310
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