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1952636524
BERTHOLD HALTER
CORONA, CA
NPI
1952636524
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: CA PA13705)
Enumeration Date
2009-10-14
Last Update Date
2018-12-28
Business Address
BERTHOLD HALTER PA-C
854 MAGNOLIA AVE STE 101
CORONA, CA 92879-3109
Phone number: 951-737-1454
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Mailing Address
BERTHOLD HALTER PA-C
854 MAGNOLIA AVE STE 101
CORONA, CA 92879-3109
Phone number:
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