DOUGLAS BALOGUN

PHILADELPHIA, PA
NPI1063364537
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: PA  PN304365)
Enumeration Date2026-02-09
Last Update Date2026-02-09
Business Address
DOUGLAS BALOGUN
1962 PRATT ST
PHILADELPHIA, PA 19124-2135
Phone number: 267-367-8613
Mailing Address
DOUGLAS BALOGUN
1962 PRATT ST
PHILADELPHIA, PA 19124-2135
Phone number: 267-367-8613
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