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Individual

ELIZABETH AGUANTA BULATAO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
3222 SHRINE RD STE A, BRUNSWICK, GA 31520-4357
(912) 264-6303
(912) 264-6323
Mailing address
3222 SHRINE RD STE A, BRUNSWICK, GA 31520-4357
(912) 264-6303
(912) 264-6323

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN137184
GA

Other

Enumeration date
10/23/2006
Last updated
12/31/2025
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