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Individual
SHIRLEY DELORISE BALTRIP
Active
Individual
SHIRLEY DELORISE BALTRIP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA CERTIFICATE
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
0749881
SC
374U00000X
Home Health Aide
—
—
Other
Enumeration date
10/07/2009
Last updated
06/05/2019
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