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1891958906
GERALD BAUTISTA
COMMERCE, CA
NPI
1891958906
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2008-07-08
Last Update Date
2008-07-08
Business Address
-- GERALD BAUTISTA
6055 E WASHINGTON BLVD 900
COMMERCE, CA 90040-2449
Phone number: 323-346-0960
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Mailing Address
-- GERALD BAUTISTA
686 W 13TH ST APT B
SAN PEDRO, CA 90731-7833
Phone number: 310-514-9651
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