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1891371472
SAMUEL BALDAZO
CHARLOTTESVILLE, VA
NPI
1891371472
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2021-03-23
Last Update Date
2021-03-23
Business Address
SAMUEL BALDAZO
1215 LEE ST
CHARLOTTESVILLE, VA 22908-0816
Phone number: 434-924-5321
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Mailing Address
SAMUEL BALDAZO
1215 LEE ST
CHARLOTTESVILLE, VA 22908-0816
Phone number: 434-924-5321
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