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1063703130
DANIEL BALLANTINE
WEST READING, PA
NPI
1063703130
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: PA OT013969)
Enumeration Date
2011-04-25
Last Update Date
2014-11-17
Business Address
-- DANIEL BALLANTINE DO
6TH AVE AND SPRUCE STREET
WEST READING, PA 19611-1428
Phone number: 610-988-5455
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Mailing Address
-- DANIEL BALLANTINE DO
PO BOX 13579
READING, PA 19612-3579
Phone number: 484-628-0799
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