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1487983706
LAURA BAUTISTA
FRESNO, CA
NPI
1487983706
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2009-12-15
Last Update Date
2009-12-15
Business Address
LAURA BAUTISTA
2855 W WHITES BRIDGE AVE
FRESNO, CA 93706-1231
Phone number: 559-268-4800
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Mailing Address
LAURA BAUTISTA
150 S 1ST ST APT 132
KERMAN, CA 93630-1041
Phone number: 559-268-4800
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