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Individual
MARIA J BERTORELLO
Active
Individual
MARIA J BERTORELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
1164
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112217804
—
TX
Enumeration date
01/05/2006
Last updated
12/23/2010
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