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1760802342
JUSTIN ROLAND BAUTISTA
LAS VEGAS, NV
NPI
1760802342
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2014-04-22
Last Update Date
2014-04-22
Business Address
JUSTIN ROLAND BAUTISTA
2770 S MARYLAND PKWY SUITE 211
LAS VEGAS, NV 89109-1554
Phone number: 702-675-3400
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Mailing Address
JUSTIN ROLAND BAUTISTA
2770 S MARYLAND PKWY SUITE 211
LAS VEGAS, NV 89109-1554
Phone number:
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