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1821169889
JENNIFER S. BAUTISTA
FONTANA, CA
NPI
1821169889
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: CA A80780)
Enumeration Date
2006-11-13
Last Update Date
2021-12-02
Business Address
JENNIFER S. BAUTISTA MD
9961 SIERRA AVE
FONTANA, CA 92335-6720
Phone number: 909-427-3910
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Mailing Address
JENNIFER S. BAUTISTA MD
9961 SIERRA AVE
FONTANA, CA 92335-6720
Phone number: 909-427-3910
Copy
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