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1104696954
JOLENE BALLENTINE
TROY, NY
NPI
1104696954
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: NY 800461)
Enumeration Date
2024-01-03
Last Update Date
2024-03-27
Business Address
JOLENE BALLENTINE
2435 6TH AVE
TROY, NY 12180-2227
Phone number: 518-274-5143
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Mailing Address
JOLENE BALLENTINE
2106 3RD AVE APT 1
WATERVLIET, NY 12189-2168
Phone number:
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