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Individual
MR. ANTHONY EUGENE BALDACCI
Active
Individual
MR. ANTHONY EUGENE BALDACCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S.N., ANP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
200742895RN
OR
163W00000X
Registered Nurse
648845
CA
363LA2200X
Adult Health Nurse Practitioner
18025
CA
363LA2200X
Adult Health Nurse Practitioner
Primary
200850023NP
OR
Other
Enumeration date
12/26/2007
Last updated
03/07/2023
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