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1477290104
TRISHA MAE BAUTISTA FERNANDEZ
MODESTO, CA
NPI
1477290104
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-05-15
Last Update Date
2022-05-15
Business Address
TRISHA MAE BAUTISTA FERNANDEZ
4601 DALE RD
MODESTO, CA 95356-9718
Phone number: 209-735-5000
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Mailing Address
TRISHA MAE BAUTISTA FERNANDEZ
2433 HOLLYBROOK WAY
MANTECA, CA 95336-8337
Phone number: 805-816-8401
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