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Individual

JANET BAUTISTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
7170 S BRADEN AVE STE 210, TULSA, OK 74136-6316
(918) 280-0090
Mailing address
7170 S BRADEN AVE STE 210, TULSA, OK 74136-6316
(918) 280-0090

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
02/17/2020
Last updated
02/17/2020
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