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Individual
JAN MICHAEL ABERGAS BACALZO
Active
Individual
JAN MICHAEL ABERGAS BACALZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
027723-1
NY
Other
Enumeration date
11/29/2007
Last updated
11/29/2007
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