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Individual
CHRISTOPHER C BAUTISTA
Active
Individual
CHRISTOPHER C BAUTISTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E4176
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5238870001
MEDICARE NSC
CA
Enumeration date
09/25/2006
Last updated
09/11/2008
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