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1912935842
EVANGELINE GUTIERREZ BAUTISTA
LOS ANGELES, CA
NPI
1912935842
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA C50704)
Enumeration Date
2006-06-29
Last Update Date
2007-07-08
Business Address
Dr. EVANGELINE GUTIERREZ BAUTISTA M.D.
3631 CRENSHAW BLVD SUITE 109
LOS ANGELES, CA 90016-4869
Phone number: 323-734-1414
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Mailing Address
Dr. EVANGELINE GUTIERREZ BAUTISTA M.D.
201 E ANGELENO AVE UNIT 203
BURBANK, CA 91502-2947
Phone number: 818-846-2116
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