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1497795298
MARIETA P BAUTISTA
PONTIAC, MI
NPI
1497795298
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Primary Taxonomy
2084P0800X Psychiatry & Neurology Psychiatry
(Licence: MI 4301040328)
Enumeration Date
2006-06-08
Last Update Date
2007-07-08
Business Address
MARIETA P BAUTISTA MD
35 W HURON ST
PONTIAC, MI 48342-2120
Phone number: 248-745-4900
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Mailing Address
MARIETA P BAUTISTA MD
35 W HURON ST
PONTIAC, MI 48342-2120
Phone number: 248-745-4900
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