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1972209906
JONNYCE BAUTISTA LAOAG
SAN JOSE, CA
NPI
1972209906
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WP0808X Registered Nurse Psychiatric/Mental Health
(Licence: CA 618647)
Enumeration Date
2023-02-01
Last Update Date
2023-02-01
Business Address
JONNYCE BAUTISTA LAOAG
160 E VIRGINIA ST STE 100
SAN JOSE, CA 95112-5865
Phone number: 408-938-2113
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Mailing Address
JONNYCE BAUTISTA LAOAG
160 E VIRGINIA ST STE 100
SAN JOSE, CA 95112-5865
Phone number: 408-938-2113
Copy
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