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1578988416
LENNY MANUEL BAUTISTA
JAMAICA PLAIN, MA
NPI
1578988416
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2014-03-02
Last Update Date
2014-05-01
Business Address
-- LENNY MANUEL BAUTISTA
3815 WASHINGTON ST
JAMAICA PLAIN, MA 02130-3745
Phone number: 617-983-5858
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Mailing Address
-- LENNY MANUEL BAUTISTA
15 WHITTIER ST APT 6
ROXBURY, MA 02120-3108
Phone number: 857-869-0722
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