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CHARLIE BALDWIN

>> Organized Health Care Education/Training Program >> Student

Registrant NPI Number: 1699373340

Individual Registrant:
 CHARLIE  BALDWIN 
Gender: M
Sole Proprietor

Location and contact information for practice:
1190 SUNCAST LN STE 8  EL DORADO HILLS, CA 95762-9329 US
Tel: 530-363-0007  Fax: --

Contact information for business:
3297 TEA ROSE DR  EL DORADO HILLS, CA 95762-6568 US
Tel: 530-363-0007  Fax: --

Registration Information:
NPI: 1699373340
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y390200000XStudent
Organized Health Care Education/Training Program

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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