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1528303914
MARLO BAUTISTA
LONG BEACH, CA
NPI
1528303914
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163WP0808X Registered Nurse, Psych/Mental Health
(Licence: CA 594890)
Enumeration Date
2012-12-11
Last Update Date
2012-12-11
Business Address
Mr. MARLO BAUTISTA RN
3205 N LAKEWOOD BLVD
LONG BEACH, CA 90808-1733
Phone number: 562-570-7119
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Mailing Address
Mr. MARLO BAUTISTA RN
1056 BELMONT AVE APT 203
LONG BEACH, CA 90804-5938
Phone number: 562-472-4337
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