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1104175389
LETICIA BAUTISTA
INDIO, CA
NPI
1104175389
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Additional Taxonomies
171M00000X Case Manager/Care Coordinator
Enumeration Date
2012-09-04
Last Update Date
2016-06-09
Business Address
Miss LETICIA BAUTISTA
47825 OASIS ST
INDIO, CA 92201-6950
Phone number: 760-863-8455
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Mailing Address
Miss LETICIA BAUTISTA
41650 MAROON TOWN DR APT C
BERMUDA DUNES, CA 92203-1151
Phone number: 760-550-7441
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