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1609924562
BRIAN GLENN BAUTISTA
FONTANA, CA
NPI
1609924562
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA A85008)
Enumeration Date
2007-01-08
Last Update Date
2021-11-29
Business Address
BRIAN GLENN BAUTISTA MD
9961 SIERRA AVE
FONTANA, CA 92335-6720
Phone number: 909-427-3910
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Mailing Address
BRIAN GLENN BAUTISTA MD
1301 CALIFORNIA ST
REDLANDS, CA 92374-2910
Phone number: 909-427-3910
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