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1790953222
ELAINE REYES BAUTISTA
RANCHO MIRAGE, CA
NPI
1790953222
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA PA19574)
Enumeration Date
2008-02-19
Last Update Date
2008-02-19
Business Address
-- ELAINE REYES BAUTISTA PA
39000 BOB HOPE DR HAL B WALLIS BLDG
RANCHO MIRAGE, CA 92270-3221
Phone number: 760-346-0642
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Mailing Address
-- ELAINE REYES BAUTISTA PA
39000 BOB HOPE DR HAL B WALLIS BLDG
RANCHO MIRAGE, CA 92270-3221
Phone number: 760-346-0642
Copy
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