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1639570906
SHANNON BAUTISTA
ANCHORAGE, AK
NPI
1639570906
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: AK 29925)
Enumeration Date
2014-09-05
Last Update Date
2014-09-05
Business Address
-- SHANNON BAUTISTA
7169 FAIRWEATHER PARK LOOP
ANCHORAGE, AK 99518-2277
Phone number: 251-463-6139
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Mailing Address
-- SHANNON BAUTISTA
7169 FAIRWEATHER PARK LOOP
ANCHORAGE, AK 99518-2277
Phone number:
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