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1104320563
KRISTI THERESA BALAVAGE
CHARLOTTE, NC
NPI
1104320563
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207V00000X Obstetrics & Gynecology
(Licence: NC 238018)
Enumeration Date
2018-03-21
Last Update Date
2023-08-03
Business Address
KRISTI THERESA BALAVAGE MD
6324 FAIRVIEW RD STE 430
CHARLOTTE, NC 28210-3372
Phone number: 704-316-3148
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Mailing Address
KRISTI THERESA BALAVAGE MD
PO BOX 60447
CHARLOTTE, NC 28260-0447
Phone number:
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