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1235308297
STEVEN LEO BALT
SAN RAFAEL, CA
NPI
1235308297
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: CA A87849)
Enumeration Date
2008-02-25
Last Update Date
2012-09-24
Business Address
Dr. STEVEN LEO BALT MD
705 4TH ST SUITE 4
SAN RAFAEL, CA 94901-3233
Phone number: 415-484-2258
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Mailing Address
Dr. STEVEN LEO BALT MD
705 4TH ST SUITE 4
SAN RAFAEL, CA 94901-3233
Phone number: 415-484-2258
Copy
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