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1700368370
ROY DEREK BALDERAS
SAN ANTONIO, TX
NPI
1700368370
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TX 2007977)
Enumeration Date
2018-08-30
Last Update Date
2018-08-30
Business Address
ROY DEREK BALDERAS
5757 N KNOLL
SAN ANTONIO, TX 78240-2239
Phone number: 210-699-8535
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Mailing Address
ROY DEREK BALDERAS
6023 WOOD PASS
SAN ANTONIO, TX 78249-1922
Phone number:
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