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1841560471
MARIVIC R BAUTISTA
TACOMA, WA
NPI
1841560471
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: WA AP60247432)
Enumeration Date
2012-01-12
Last Update Date
2012-06-13
Business Address
-- MARIVIC R BAUTISTA ARNP
1149 MARKET ST
TACOMA, WA 98402-3515
Phone number: 253-552-4117
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Mailing Address
-- MARIVIC R BAUTISTA ARNP
1149 MARKET ST
TACOMA, WA 98402-3515
Phone number:
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