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MRS. GABRIELA ISABEL BAUTISTA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSN, APRN

Contact information

Practice address
4961 BUFORD HWY, CHAMBLEE, GA 30341-3535
(470) 509-4648
Mailing address
2524 OAKLAND SPRING DR, SNELLVILLE, GA 30039-7961
(678) 760-2474

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN264941
GA
363LP0200X
Pediatric Nurse Practitioner
Primary
RN264941
GA

Other

Enumeration date
03/17/2019
Last updated
08/23/2022
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