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MRS. VERNICE ANN R BAUTISTA P.A.-C

>> Physician Assistant >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1275654287

Individual Registrant:
MRS. VERNICE ANN R BAUTISTA P.A.-C
Gender: F
Not Sole Proprietor

Location and contact information for practice:
2201 SAN JUAN AVE  LA JUNTA, CO 81050-3323 US
Tel: 719-384-8181  Fax: 719-384-4872

Contact information for business:
2201 SAN JUAN AVE  LA JUNTA, CO 81050-3323 US
Tel: --  Fax: --

Registration Information:
NPI: 1275654287
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363A00000XPhysician Assistants & Advanced Practice Nursing Providers
Physician Assistant
CO1565

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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