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1073639613
STEPHEN MITCHELL BALKAM
SAN DIEGO, CA
NPI
1073639613
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2251P0200X Physical Therapist, Pediatrics
(Licence: CA 21265)
Enumeration Date
2007-03-22
Last Update Date
2007-07-08
Business Address
-- STEPHEN MITCHELL BALKAM P.T
1005 47TH ST
SAN DIEGO, CA 92102-3626
Phone number: 619-262-7342
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Mailing Address
-- STEPHEN MITCHELL BALKAM P.T
1005 47TH ST
SAN DIEGO, CA 92102-3626
Phone number: 619-262-7342
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