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1316123359
TRAVIS JERARD BAISDEN
VIRGINIA BEACH, VA
NPI
1316123359
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: VA 0110008196)
Enumeration Date
2008-01-20
Last Update Date
2022-09-14
Business Address
Mr. TRAVIS JERARD BAISDEN PHYSICIAN ASSISTANT
1605 GENERAL BOOTH BLVD
VIRGINIA BEACH, VA 23454-5691
Phone number: 757-721-0513
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Mailing Address
Mr. TRAVIS JERARD BAISDEN PHYSICIAN ASSISTANT
1721 ADMIRAL TAUSSIG BLVD
NORFOLK, VA 23511-2802
Phone number: 757-953-9000
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