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1275840597
JUAN BAUTISTA
LONG BEACH, CA
NPI
1275840597
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2010-09-08
Last Update Date
2010-09-08
Business Address
Mr. JUAN BAUTISTA
3605 LONG BEACH BLVD STE 331
LONG BEACH, CA 90807-4025
Phone number: 562-989-0537
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Mailing Address
Mr. JUAN BAUTISTA
7314 MIRAMONTE BLVD
LOS ANGELES, CA 90001-2540
Phone number: 323-589-9043
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