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1700495108
MARK TYLER BAUTISTA
CARLSBAD, CA
NPI
1700495108
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA 298547)
Enumeration Date
2020-07-31
Last Update Date
2024-07-17
Business Address
MARK TYLER BAUTISTA DPT
3146 TIGER RUN CT STE 119
CARLSBAD, CA 92010-6503
Phone number: 858-215-1237
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Mailing Address
MARK TYLER BAUTISTA DPT
545 LAWNDALE PL
SAN MARCOS, CA 92069-8106
Phone number: 858-215-1237
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