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1851966535
DYLAN JORDAN BALTAR
GAINESVILLE, FL
NPI
1851966535
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: FL 31008)
Enumeration Date
2021-05-25
Last Update Date
2021-05-25
Business Address
DYLAN JORDAN BALTAR
430 NE 10TH ST
GAINESVILLE, FL 32601-5688
Phone number: 954-496-3110
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Mailing Address
DYLAN JORDAN BALTAR
430 NE 10TH ST
GAINESVILLE, FL 32601-5688
Phone number: 954-496-3110
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