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1912487455
MARK GERARD D BAUTISTA
APO, AE
NPI
1912487455
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2018-08-15
Last Update Date
2024-09-27
Business Address
MARK GERARD D BAUTISTA PA-C
48TH MDG, UNIT 5115
APO, AE 09461
Phone number: 314-238-2198
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Mailing Address
MARK GERARD D BAUTISTA PA-C
48 MDG UNIT 5115
APO, AE 09461
Phone number:
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