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1306577390
TIMOTHY RYAN BAUTISTA SACAMAY
MESA, AZ
NPI
1306577390
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-06-21
Last Update Date
2022-06-21
Business Address
TIMOTHY RYAN BAUTISTA SACAMAY
1301 S CRISMON RD
MESA, AZ 85209-3767
Phone number: 480-358-6100
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Mailing Address
TIMOTHY RYAN BAUTISTA SACAMAY
930 PALENCIA PL
CHULA VISTA, CA 91910-8064
Phone number: 619-942-0031
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