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1003523804
ERIC BLAINE BALTODANO
CYPRESS, TX
NPI
1003523804
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: TX 1329120)
Enumeration Date
2022-11-01
Last Update Date
2022-11-02
Business Address
ERIC BLAINE BALTODANO DPT
13215 GRANT RD STE 900
CYPRESS, TX 77429-4094
Phone number: 832-220-9211
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Mailing Address
ERIC BLAINE BALTODANO DPT
13215 GRANT RD STE 900
CYPRESS, TX 77429-4094
Phone number: 832-220-9211
Copy
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