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1164414660
ROGELIO L BAUTISTA
MACON, MO
NPI
1164414660
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208600000X Surgery
(Licence: MO 33051)
Enumeration Date
2005-08-19
Last Update Date
2012-09-24
Business Address
-- ROGELIO L BAUTISTA m.d.
1201 N RUTHERFORD ST
MACON, MO 63552-2020
Phone number: 660-385-8900
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Mailing Address
-- ROGELIO L BAUTISTA m.d.
1201 N RUTHERFORD ST
MACON, MO 63552-2020
Phone number: 660-385-8900
Copy
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