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1588151997
RICARDO LUIS BACALLAO
PEMBROKE PINES, FL
NPI
1588151997
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
111N00000X Chiropractor
(Licence: FL 12472)
Enumeration Date
2018-04-20
Last Update Date
2018-04-20
Business Address
Dr. RICARDO LUIS BACALLAO DC
1633 N HIATUS RD
PEMBROKE PINES, FL 33026-2129
Phone number: 754-281-2443
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Mailing Address
Dr. RICARDO LUIS BACALLAO DC
PO BOX 266544
WESTON, FL 33326
Phone number: 754-281-2443
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