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1679671937
JAN R BAUTISTA
CLEVELAND, OH
NPI
1679671937
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: OH 35078403B)
Enumeration Date
2006-09-20
Last Update Date
2007-12-21
Business Address
-- JAN R BAUTISTA MD
9500 EUCLID AVE
CLEVELAND, OH 44195-0001
Phone number: 800-223-2273
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Mailing Address
-- JAN R BAUTISTA MD
6000 W CREEK RD
INDEPENDENCE, OH 44131-2139
Phone number: 800-223-2273
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