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1427561703
JENNY K BAUTISTA
ATLANTA, GA
NPI
1427561703
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Former Name
JENNY K PENA
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2017-11-09
Last Update Date
2017-11-09
Business Address
JENNY K BAUTISTA MS
270 CARPENTER DR STE 400
ATLANTA, GA 30328-4933
Phone number: 678-460-0345
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Mailing Address
JENNY K BAUTISTA MS
729 WYNHOLLOW TRCE APT 3
NORCROSS, GA 30071-4015
Phone number: 347-575-0445
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