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1316586167
PAULIANA BALTHAZAR
MIRAMAR, FL
NPI
1316586167
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
261QD1600X Clinic/Center, Developmental Disabilities
Enumeration Date
2019-12-26
Last Update Date
2019-12-26
Business Address
PAULIANA BALTHAZAR
6757 SW 27TH CT
MIRAMAR, FL 33023-4801
Phone number: 786-226-2016
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Mailing Address
PAULIANA BALTHAZAR
6757 SW 27TH CT
MIRAMAR, FL 33023-4801
Phone number:
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