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1982663480
LUCIEN S BAUTISTA
PHILLIPSBURG, NJ
NPI
1982663480
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: NJ MB68661)
Enumeration Date
2006-03-22
Last Update Date
2020-03-19
Business Address
LUCIEN S BAUTISTA DO
200 STRYKERS RD
PHILLIPSBURG, NJ 08865-9488
Phone number: 908-859-6568
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Mailing Address
LUCIEN S BAUTISTA DO
PO BOX 27957
SALT LAKE CITY, UT 84127-0957
Phone number: 908-835-1910
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