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1184883324
DR MANUEL BAUSTISTA,INC,P.S.
LAKEWOOD, WA
NPI
1184883324
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Entity Type
Organization
Authorized Contact
MANUEL BAUTISTA
President
253-581-6303
Organization Subpart ?
No
Primary Taxonomy
2084N0400X Psychiatry & Neurology, Neurology
Enumeration Date
2008-06-03
Last Update Date
2008-06-05
Business Address
DR MANUEL BAUSTISTA,INC,P.S.
9115 BRIDGEPORT WAY SW SUITE #1
LAKEWOOD, WA 98499-2449
Phone number: 253-581-6303
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Mailing Address
DR MANUEL BAUSTISTA,INC,P.S.
PO BOX 39398
LAKEWOOD, WA 98496-3398
Phone number: 253-581-6303
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