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Individual
MR. VIC GUERRERO BALAOING
Active
Individual
MR. VIC GUERRERO BALAOING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
028539
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03374870
—
NY
01
—
1316331200
GROUP NPI
NY
01
—
1336318062
NPI
NY
Enumeration date
02/27/2008
Last updated
03/19/2019
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