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1790241503
ADAM BALDUEZA QUEZON
OAKLAND, CA
NPI
1790241503
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: CA PTA49079)
Enumeration Date
2019-02-17
Last Update Date
2019-02-17
Business Address
Mr. ADAM BALDUEZA QUEZON PTA
110 41ST ST
OAKLAND, CA 94611-5250
Phone number: 510-596-2600
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Mailing Address
Mr. ADAM BALDUEZA QUEZON PTA
1921 26TH AVE APT 5
OAKLAND, CA 94601-1739
Phone number: 805-415-4635
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