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1285881797
DIVINA BAUTISTA
MEMPHIS, TN
NPI
1285881797
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: TN 3526)
Enumeration Date
2008-08-27
Last Update Date
2008-08-27
Business Address
-- DIVINA BAUTISTA
6025 PRIMACY PKWY
MEMPHIS, TN 38119-5763
Phone number: 901-767-1040
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Mailing Address
-- DIVINA BAUTISTA
2302 LONDONDERRY LN
CORDOVA, TN 38016-8412
Phone number: 901-381-1121
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