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1629638176
ZACHARY ALEXANDER BAUTISTA
GAINESVILLE, FL
NPI
1629638176
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: FL PA9112449)
Enumeration Date
2019-06-17
Last Update Date
2020-05-06
Business Address
ZACHARY ALEXANDER BAUTISTA PA-C
1600 SW ARCHER RD
GAINESVILLE, FL 32610-6954
Phone number: 352-265-5911
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Mailing Address
ZACHARY ALEXANDER BAUTISTA PA-C
1600 SW ARCHER RD BOX 100186
GAINESVILLE, FL 32610-0001
Phone number: 352-265-5911
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