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1649788167
LESLIE BAUTISTA
RIVERSIDE, CA
NPI
1649788167
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2018-01-18
Last Update Date
2023-08-25
Business Address
LESLIE BAUTISTA
6809 INDIANA AVE # 130-B26
RIVERSIDE, CA 92506-4221
Phone number: 951-382-4842
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Mailing Address
LESLIE BAUTISTA
6809 INDIANA AVE # 130-B26
RIVERSIDE, CA 92506-4221
Phone number: 951-382-4842
Copy
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