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1073365300
HORACIO BAUTISTA
DETROIT, MI
NPI
1073365300
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
(Licence: MI 95396184)
Enumeration Date
2024-04-02
Last Update Date
2024-04-02
Business Address
HORACIO BAUTISTA CHW
111 W 7 MILE RD
DETROIT, MI 48203-1968
Phone number: 313-368-2600
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Mailing Address
HORACIO BAUTISTA CHW
13901 E JEFFERSON AVE
DETROIT, MI 48215-2720
Phone number: 313-821-2591
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