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1942875695
LORENZO CAMILO BALDERRAMA
SACRAMENTO, CA
NPI
1942875695
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
261QM0850X Clinic/Center, Adult Mental Health
Enumeration Date
2021-05-25
Last Update Date
2021-05-25
Business Address
LORENZO CAMILO BALDERRAMA
1050 FULTON AVE STE 235
SACRAMENTO, CA 95825-4299
Phone number: 916-614-9539
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Mailing Address
LORENZO CAMILO BALDERRAMA
1050 FULTON AVE STE 235
SACRAMENTO, CA 95825-4299
Phone number: 916-614-9539
Copy
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