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1457344715
JAIME A BALDERRAMA
PHOENIX, AZ
NPI
1457344715
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Other Name
JAIME ALFREDO BALDERRAMA RODRIGUEZ
Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208000000X Pediatrics
(Licence: AZ 17010)
Enumeration Date
2005-08-23
Last Update Date
2007-07-08
Business Address
-- JAIME A BALDERRAMA MD
4524 N MARYVALE PKWY SUITE 110
PHOENIX, AZ 85031-1730
Phone number: 623-845-9009
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Mailing Address
-- JAIME A BALDERRAMA MD
4524 N MARYVALE PKWY SUITE 110
PHOENIX, AZ 85031-1730
Phone number: 623-845-9009
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