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Individual
MRS. BETHANY BRYN ZANETTI
Active
Individual
MRS. BETHANY BRYN ZANETTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0905
NH
363A00000X
Physician Assistant
Primary
3737
SC
363AM0700X
Medical Physician Assistant
3737
SC
363AM0700X
Medical Physician Assistant
PA0004764
CO
Other
Enumeration date
07/19/2012
Last updated
03/02/2022
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