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1720620628
ASHANTY BAUTISTA
ELK GROVE, CA
NPI
1720620628
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2019-10-11
Last Update Date
2019-10-11
Business Address
ASHANTY BAUTISTA
9412 BIG HORN BLVD
ELK GROVE, CA 95758-1101
Phone number: 916-684-6515
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Mailing Address
ASHANTY BAUTISTA
4540 HARLIN DR
SACRAMENTO, CA 95826-9716
Phone number: 916-364-7800
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