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1700843083
JUSTINE MAE BAUTISTA
WOODBRIDGE, VA
NPI
1700843083
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: VA 2305102956)
Enumeration Date
2006-04-28
Last Update Date
2007-07-08
Business Address
Ms. JUSTINE MAE BAUTISTA P.T.
2076 DANIEL STUART SQ
WOODBRIDGE, VA 22191-3315
Phone number: 703-492-6934
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Mailing Address
Ms. JUSTINE MAE BAUTISTA P.T.
4042 PENDER RIDGE TERRACE
FAIRFAX, VA 22033
Phone number:
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