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1053902262
MYRA BAUTISTA
BERKELEY, CA
NPI
1053902262
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171100000X Acupuncturist
(Licence: CA 18676)
Enumeration Date
2021-01-30
Last Update Date
2021-01-30
Business Address
MYRA BAUTISTA LAC
2801 CHERRY ST APT 2
BERKELEY, CA 94705-2303
Phone number: 510-833-3589
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Mailing Address
MYRA BAUTISTA LAC
2801 CHERRY ST APT 2
BERKELEY, CA 94705-2303
Phone number: 510-833-3589
Copy
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