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1487206942
JOSE BAUTISTA
LAS VEGAS, NV
NPI
1487206942
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
Enumeration Date
2019-07-15
Last Update Date
2019-07-15
Business Address
JOSE BAUTISTA ATC
4718 GARDEN PL
LAS VEGAS, NV 89107-4150
Phone number: 702-544-6549
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Mailing Address
JOSE BAUTISTA ATC
4718 GARDEN PL
LAS VEGAS, NV 89107-4150
Phone number:
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