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1063567501
BERNARD J BALLEWEG
MISSOULA, MT
NPI
1063567501
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103T00000X Psychologist
(Licence: MT MT250)
Enumeration Date
2007-01-24
Last Update Date
2007-07-08
Business Address
Mr. BERNARD J BALLEWEG PhD
125 BANK STREET SUITE 310
MISSOULA, MT 59802
Phone number: 406-549-7325
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Mailing Address
Mr. BERNARD J BALLEWEG PhD
125 BANK STREET SUITE 310
MISSOULA, MT 59802
Phone number: 406-549-7325
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