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1578143780
NICHOLAS JOHN BALTZ
LITTLE ROCK, AR
NPI
1578143780
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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
2021-04-12
Last Update Date
2021-04-12
Business Address
NICHOLAS JOHN BALTZ
4301 W MARKHAM ST # 634
LITTLE ROCK, AR 72205-7101
Phone number: 501-686-7592
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Mailing Address
NICHOLAS JOHN BALTZ
315 ROCK ST APT 1310
LITTLE ROCK, AR 72202-5529
Phone number: 501-352-4967
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