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Individual
ALLAN BAUTISTA
Active
Individual
ALLAN BAUTISTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT20033
CA
Other
Enumeration date
12/21/2006
Last updated
11/18/2008
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