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1457762767
BALTAZAR PULIDO
SAN JOSE, CA
NPI
1457762767
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
167G00000X Licensed Psychiatric Technician
(Licence: CA 33463)
Enumeration Date
2014-05-08
Last Update Date
2014-05-08
Business Address
-- BALTAZAR PULIDO
2459 JUBILEE LN
SAN JOSE, CA 95131-1987
Phone number: 408-577-7221
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Mailing Address
-- BALTAZAR PULIDO
2459 JUBILEE LN
SAN JOSE, CA 95131-1987
Phone number: 408-577-7221
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