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1689053746
RICKY BALDERAS
SAN ANTONIO, TX
NPI
1689053746
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: TX 1251681)
Enumeration Date
2015-05-22
Last Update Date
2015-05-22
Business Address
-- RICKY BALDERAS
903 W MARTIN ST
SAN ANTONIO, TX 78207-0903
Phone number: 210-358-3144
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Mailing Address
-- RICKY BALDERAS
PO BOX 87
SAN ANTONIO, TX 78291-0087
Phone number: 210-358-9172
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