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1457556607
RICHARD GONSALVES BALELO
SAN MARCOS, CA
NPI
1457556607
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2251X0800X Physical Therapist, Orthopedic
(Licence: CA PT 16075)
Enumeration Date
2007-06-18
Last Update Date
2021-12-01
Business Address
-- RICHARD GONSALVES BALELO P.T.
400 CRAVEN RD
SAN MARCOS, CA 92078-4201
Phone number: 710-510-4032
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Mailing Address
-- RICHARD GONSALVES BALELO P.T.
10894 KEMAH LN
SAN DIEGO, CA 92131-1320
Phone number: 858-271-4596
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