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1104557040
ANTHONY OSCAR BAUTISTA
RIVERSIDE, CA
NPI
1104557040
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2022-06-21
Last Update Date
2022-06-21
Business Address
ANTHONY OSCAR BAUTISTA
3576 ARLINGTON AVE
RIVERSIDE, CA 92506-3943
Phone number: 559-644-7742
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Mailing Address
ANTHONY OSCAR BAUTISTA
7855 CAMERON WAY
RIVERSIDE, CA 92509-0152
Phone number: 323-217-4348
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