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1518460435
JOSE LUIS BAUTISTA GARCIA
SANTA MONICA, CA
NPI
1518460435
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: CA NP95008698)
Enumeration Date
2018-03-16
Last Update Date
2024-06-03
Business Address
JOSE LUIS BAUTISTA GARCIA NP
1260 15TH ST STE 1502
SANTA MONICA, CA 90404-1135
Phone number: 310-656-1702
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Mailing Address
JOSE LUIS BAUTISTA GARCIA NP
5767 W CENTURY BLVD STE 400
LOS ANGELES, CA 90045-5631
Phone number:
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