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1063564219
MIGUEL ANGEL BALDERRAMA
TACOMA, WA
NPI
1063564219
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: WA MD00034248)
Enumeration Date
2007-01-17
Last Update Date
2007-07-08
Business Address
-- MIGUEL ANGEL BALDERRAMA MD
1112 S CUSHMAN AVE
TACOMA, WA 98405-3631
Phone number: 253-593-2144
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Mailing Address
-- MIGUEL ANGEL BALDERRAMA MD
PO BOX 34703
SEATTLE, WA 98124-1703
Phone number: 206-764-0112
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