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Individual

MR. JESUS ALBERTO SALAS

Active
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Individual

MR. JESUS ALBERTO SALAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PSY.D.

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS015605
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
50053661
CAPITAL BLUE CROSS
PA
01
SA1785849
BLUE SHIELD INS. CO.
PA
Enumeration date
03/25/2006
Last updated
12/12/2007
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