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Individual
AMERICA CARABALLO
Active
Individual
AMERICA CARABALLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
441
PR
2251G0304X
Geriatric Physical Therapist
441
PR
Other
Enumeration date
02/05/2010
Last updated
02/05/2010
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