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1689916561
PEDRO D BAUTISTA
MODESTO, CA
NPI
1689916561
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2013-03-19
Last Update Date
2015-05-28
Business Address
Mr. PEDRO D BAUTISTA
2000 W BRIGGSMORE AVE I
MODESTO, CA 95350-3839
Phone number: 209-526-1440
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Mailing Address
Mr. PEDRO D BAUTISTA
2000 W BRIGGSMORE AVE STE I
MODESTO, CA 95350-3839
Phone number: 209-526-1440
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