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1932430212
NICOLETTE BAUTISTA
FOLSOM, CA
NPI
1932430212
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CA 28563)
Enumeration Date
2010-01-26
Last Update Date
2025-01-09
Business Address
Dr. NICOLETTE BAUTISTA Psy.D.
110 BLUE RAVINE RD STE 104
FOLSOM, CA 95630-4712
Phone number: 916-505-4419
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Mailing Address
Dr. NICOLETTE BAUTISTA Psy.D.
110 BLUE RAVINE RD STE 104
FOLSOM, CA 95630-4712
Phone number: 916-505-4419
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