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1063246528
MICHELLE BAUTISTA
LOS ANGELES, CA
NPI
1063246528
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: CA 95030704)
Enumeration Date
2024-08-28
Last Update Date
2024-10-22
Business Address
MICHELLE BAUTISTA NP
1680 E 120TH ST
LOS ANGELES, CA 90059-3026
Phone number: 424-321-7683
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Mailing Address
MICHELLE BAUTISTA NP
2324 TEVIS AVE
LONG BEACH, CA 90815-2236
Phone number: 310-702-5291
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