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Individual
REY HERMANN BALTAZAR
Active
Individual
REY HERMANN BALTAZAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT61031221
WA
Other
Enumeration date
02/06/2020
Last updated
02/06/2020
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