JORGE ANTHONY BACALLAO

BOSTON, MA
NPI1598502825
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2024-07-12
Last Update Date2024-07-12
Business Address
JORGE ANTHONY BACALLAO
1 KNEELAND ST
BOSTON, MA 02111-1527
Phone number: 617-636-6828
Mailing Address
JORGE ANTHONY BACALLAO
1 KNEELAND ST
BOSTON, MA 02111-1527
Phone number: 617-636-6828
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