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Individual

BALTAZAR HUERTA GIL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
500 MILITARY CUTOFF RD, WILMINGTON, NC 28405-9737
(910) 392-0080
Mailing address
501 COBBLESTONE DR UNIT 201, WILMINGTON, NC 28405-3578
(919) 222-4999

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
NC

Other

Enumeration date
01/13/2021
Last updated
05/18/2021
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