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1578176475
SAMANTHA BALTAZAR
RIVERSIDE, CA
NPI
1578176475
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2020-08-28
Last Update Date
2021-03-29
Business Address
SAMANTHA BALTAZAR PA
7172 MAGNOLIA AVE
RIVERSIDE, CA 92504-3804
Phone number: 519-788-2224
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Mailing Address
SAMANTHA BALTAZAR PA
7172 MAGNOLIA AVE
RIVERSIDE, CA 92504-3804
Phone number:
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