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1063291896
GABRIELLE MARIE BAUTISTA
CANYON COUNTRY, CA
NPI
1063291896
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA PA63361)
Enumeration Date
2023-09-21
Last Update Date
2024-02-20
Business Address
GABRIELLE MARIE BAUTISTA PA-C
19231 SOLEDAD CANYON RD
CANYON COUNTRY, CA 91351-3367
Phone number: 661-430-9040
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Mailing Address
GABRIELLE MARIE BAUTISTA PA-C
PO BOX 134
CASTAIC, CA 91310-0134
Phone number:
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