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1932800323
JULISSA BAUTISTA-PEREZ
MADISON, WI
NPI
1932800323
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI 19567)
Enumeration Date
2023-03-14
Last Update Date
2023-03-14
Business Address
JULISSA BAUTISTA-PEREZ SAC-IT
210 E OLIN AVE
MADISON, WI 53713-1434
Phone number: 608-807-1428
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Mailing Address
JULISSA BAUTISTA-PEREZ SAC-IT
210 E OLIN AVE
MADISON, WI 53713-1434
Phone number: 608-807-1428
Copy
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