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1477265759
AYESHA BACCHUS
ROUND ROCK, TX
NPI
1477265759
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: TX 1102199)
Enumeration Date
2022-12-19
Last Update Date
2024-05-03
Business Address
AYESHA BACCHUS
16040 PARK VALLEY DR STE 227
ROUND ROCK, TX 78681-3596
Phone number: 512-255-7337
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Mailing Address
AYESHA BACCHUS
16040 PARK VALLEY DR STE 227
ROUND ROCK, TX 78681-3596
Phone number:
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