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Individual
KEZIAH ELIZABETH BABU
Active
Individual
KEZIAH ELIZABETH BABU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
11707
GA
363A00000X
Physician Assistant
Primary
PA18170
TX
Other
Enumeration date
09/11/2023
Last updated
08/28/2024
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