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Individual

KEITH BALDONADO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2116 MOUNTAIN GLOW AVE, NORTH LAS VEGAS, NV 89031-4377
(702) 321-6344
Mailing address
2116 MOUNTAIN GLOW AVE, NORTH LAS VEGAS, NV 89031-4377
(702) 321-6344

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A-0473
NV

Other

Enumeration date
05/20/2011
Last updated
05/20/2011
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