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1053330779
GERARD A. BALLANCO
OPELOUSAS, LA
NPI
1053330779
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: LA 025645)
Enumeration Date
2006-07-19
Last Update Date
2007-11-14
Business Address
Dr. GERARD A. BALLANCO M.D.
539 E PRUDHOMME ST
OPELOUSAS, LA 70570-6499
Phone number: 337-942-6883
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Mailing Address
Dr. GERARD A. BALLANCO M.D.
103 KILBOURNE CIR
CARENCRO, LA 70520-5374
Phone number: 337-886-6848
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