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1437550936
TRACY TEICHEN BAGGETT
GAINESVILLE, FL
NPI
1437550936
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Former Name
TRACY TEICHEN BROOK
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: FL PA9108200)
Enumeration Date
2014-09-16
Last Update Date
2016-02-01
Business Address
-- TRACY TEICHEN BAGGETT Physician Assistant
2000 SW ARCHER RD
GAINESVILLE, FL 32610-3003
Phone number: 352-265-8250
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Mailing Address
-- TRACY TEICHEN BAGGETT Physician Assistant
PO BOX 100296
GAINESVILLE, FL 32610-0296
Phone number: 352-294-5252
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