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1538332119
MICHAEL BALOALOA BUTAC
LOMA LINDA, CA
NPI
1538332119
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2008-04-03
Last Update Date
2008-04-03
Business Address
Dr. MICHAEL BALOALOA BUTAC
11234 ANDERSON ST HOUSE STAFF OFFICE CP 21005
LOMA LINDA, CA 92354-2804
Phone number: 909-558-8131
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Mailing Address
Dr. MICHAEL BALOALOA BUTAC
11234 ANDERSON ST HOUSE STAFF OFFICE CP 21005
LOMA LINDA, CA 92354-2804
Phone number:
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