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1336218734
JEFFERSON AQUINO BAUTISTA
ANAHEIM, CA
NPI
1336218734
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 16338)
Enumeration Date
2006-11-07
Last Update Date
2020-12-24
Business Address
JEFFERSON AQUINO BAUTISTA NP-BC
1211 W LA PALMA AVE STE 404
ANAHEIM, CA 92801-2806
Phone number: 714-772-8282
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Mailing Address
JEFFERSON AQUINO BAUTISTA NP-BC
PO BOX 15090
ANAHEIM, CA 92803-5090
Phone number: 714-577-2121
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