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1023518313
MARY BALOG
ANN ARBOR, MI
NPI
1023518313
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: MI 1087732)
Enumeration Date
2018-02-14
Last Update Date
2018-02-14
Business Address
MARY BALOG RD
116 ALLEN DR
ANN ARBOR, MI 48103-4002
Phone number: 734-341-0307
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Mailing Address
MARY BALOG RD
116 ALLEN DR
ANN ARBOR, MI 48103-4002
Phone number: 734-341-0307
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