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1053778449
YELIZAVETA BAVOSA
ELLICOTT CITY, MD
NPI
1053778449
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MD C0006070)
Enumeration Date
2016-01-15
Last Update Date
2020-03-30
Business Address
YELIZAVETA BAVOSA PA-C
3300 CENTENNIAL LN
ELLICOTT CITY, MD 21042-3600
Phone number: 866-389-2727
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Mailing Address
YELIZAVETA BAVOSA PA-C
3300 CENTENNIAL LN
ELLICOTT CITY, MD 21042-3600
Phone number: 866-389-2727
Copy
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