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1760680243
MARIVIC A BAUTISTA
LOS ANGELES, CA
NPI
1760680243
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207QA0505X Family Medicine, Adult Medicine
(Licence: CA A100478)
Enumeration Date
2007-07-06
Last Update Date
2024-04-04
Business Address
MARIVIC A BAUTISTA MD
5427 WHITTIER BLVD
LOS ANGELES, CA 90022-4101
Phone number: 888-499-9303
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Mailing Address
MARIVIC A BAUTISTA MD
5427 WHITTIER BLVD
LOS ANGELES, CA 90022-4101
Phone number: 888-499-9303
Copy
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