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1164076717
MICHELLE BALDERAS
DALLAS, TX
NPI
1164076717
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: TX PA12972)
Enumeration Date
2019-07-31
Last Update Date
2019-07-31
Business Address
MICHELLE BALDERAS Physician Assistant
12201 MERIT DR STE 300
DALLAS, TX 75251-3139
Phone number: 214-294-8989
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Mailing Address
MICHELLE BALDERAS Physician Assistant
208 NORTH ST
LEWISVILLE, TX 75057-3144
Phone number: 214-450-9048
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