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1003672346
BALAISHE BOAKAI BALLO
CAMDEN, NJ
NPI
1003672346
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: PA 147728)
Enumeration Date
2024-02-26
Last Update Date
2024-02-26
Business Address
BALAISHE BOAKAI BALLO
1600 HADDON AVE
CAMDEN, NJ 08103-3101
Phone number: 856-757-3500
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Mailing Address
BALAISHE BOAKAI BALLO
1925 LAWRENCE RD APT 11E
HAVERTOWN, PA 19083-1757
Phone number: 148-466-7331
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