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1154173649
MATTHEW CALVIN BALTAZAR
BENTON HARBOR, MI
NPI
1154173649
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2024-04-05
Last Update Date
2024-04-05
Business Address
MATTHEW CALVIN BALTAZAR
1485 M 139
BENTON HARBOR, MI 49022-5711
Phone number: 269-925-0585
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Mailing Address
MATTHEW CALVIN BALTAZAR
9359 FOX RUN
BERRIEN CENTER, MI 49102-8706
Phone number: 269-369-8239
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