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1518706217
JACOB BAUTISTA
LOS ANGELES, CA
NPI
1518706217
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2024-05-22
Last Update Date
2024-05-22
Business Address
JACOB BAUTISTA
4221 WILSHIRE BLVD STE 300A
LOS ANGELES, CA 90010-3537
Phone number: 888-428-3223
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Mailing Address
JACOB BAUTISTA
4221 WILSHIRE BLVD STE 300A
LOS ANGELES, CA 90010-3537
Phone number: 888-428-3223
Copy
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