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Individual
BRYCE BALSAMO
Active
Individual
BRYCE BALSAMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RD, LDN
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
DN008684
PA
Other
Enumeration date
12/30/2024
Last updated
12/30/2024
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