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1932676269
BREANNE MASSUNG BAUTISTA
LAWRENCEVILLE, GA
NPI
1932676269
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LN0000X Nurse Practitioner, Neonatal
(Licence: GA RN203901)
Enumeration Date
2018-10-24
Last Update Date
2018-10-24
Business Address
BREANNE MASSUNG BAUTISTA NNP-BC
550 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30046
Phone number: 378-312-3970
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Mailing Address
BREANNE MASSUNG BAUTISTA NNP-BC
550 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30046-7688
Phone number: 678-312-3970
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