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1700220795
GONZALO BAUTISTA
COLLEGE STATION, TX
NPI
1700220795
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: TX AP124090)
Enumeration Date
2013-04-22
Last Update Date
2021-12-07
Business Address
Mr. GONZALO BAUTISTA
700 SCOTT AND WHITE DR
COLLEGE STATION, TX 77845-6441
Phone number: 979-207-0100
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Mailing Address
Mr. GONZALO BAUTISTA
PO BOX 844658
DALLAS, TX 75284-4658
Phone number:
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