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1053142463
JONATHAN BAUTISTA
LAS VEGAS, NV
NPI
1053142463
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NV 6522)
Enumeration Date
2024-08-08
Last Update Date
2024-08-12
Business Address
Dr. JONATHAN BAUTISTA DPT
4000 S EASTERN AVE STE 150
LAS VEGAS, NV 89119-0840
Phone number: 725-726-7847
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Mailing Address
Dr. JONATHAN BAUTISTA DPT
6631 CREEPING THYME ST
LAS VEGAS, NV 89148-4801
Phone number: 775-742-7133
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