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1063941300
ROGER BAUTISTA
SAN DIEGO, CA
NPI
1063941300
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2017-06-09
Last Update Date
2017-06-09
Business Address
ROGER BAUTISTA
10174 OLD GROVE RD
SAN DIEGO, CA 92131-1652
Phone number: 858-444-8823
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Mailing Address
ROGER BAUTISTA
1453 PHILLIPS CIR
VISTA, CA 92083-7676
Phone number: 760-945-1731
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