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Individual

SHOSHANAH A BAUZO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4300 SW 13TH ST, GAINESVILLE, FL 32608-4006
(352) 374-5600
Mailing address
235 E PONCE DE LEON AVE, DECATUR, GA 30030-3452

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
10/12/2020
Last updated
01/28/2026
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