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1063554426
JAY A BALESTRIERI
PUEBLO, CO
NPI
1063554426
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: CO 109032)
Enumeration Date
2007-02-13
Last Update Date
2007-11-14
Business Address
-- JAY A BALESTRIERI NP
400 W 17TH ST
PUEBLO, CO 81003-2649
Phone number: 719-296-6872
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Mailing Address
-- JAY A BALESTRIERI NP
1235 N BLAZING TRAIL DR
PUEBLO WEST, CO 81007-3934
Phone number: 719-251-2071
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