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Individual
DR. RUBEN OMAR BANUELOS ENRIQUEZ
Active
Individual
DR. RUBEN OMAR BANUELOS ENRIQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
296749
CA
225100000X
Physical Therapist
PTL.0015442
CO
Other
Enumeration date
02/24/2018
Last updated
07/06/2023
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