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Gautam
Gautam
Baskaran
Medical doctor
Longview, United States
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Florida Health Care Practitioner Data Portal
Full name
Gautam Baskaran
Job Title
Medical Doctor
Location
Longview, TX, USA
LIC ID
161464
Current License Expiration Date
31/01/2025
Original Date
03/08/2022
Professional Rank Code
ME
Effective Date
03/08/2022
Board Action Indicator
N
License Status Description
CLEAR
License Active Status Description
ACTIVE
Country Description
Out of State
Practice Location Address Line 1
Access Physicians
Practice Location Address Line 2
1717 Main St, Ste 5850
Practice Location Address City
DALLAS
Practice Location Address State
TX
Practice Location Address Zipcode
75201
Prescribing Indicator
N
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