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1710457429
GERARDO BALTIERRA
BALDWIN PARK, CA
NPI
1710457429
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171000000X Military Health Care Provider
Enumeration Date
2018-11-26
Last Update Date
2018-11-26
Business Address
GERARDO BALTIERRA
13177 RAMONA BLVD
BALDWIN PARK, CA 91706-3855
Phone number: 626-337-3828
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Mailing Address
GERARDO BALTIERRA
4319 HARLAN AVE
BALDWIN PARK, CA 91706-2857
Phone number:
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