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1124532155
TONY GORDON BALLENSKY
BUTTE, MT
NPI
1124532155
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MT 128284)
Enumeration Date
2017-11-29
Last Update Date
2017-11-29
Business Address
TONY GORDON BALLENSKY FNP
435 S CRYSTAL ST STE 300
BUTTE, MT 59701-1506
Phone number: 406-496-3600
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Mailing Address
TONY GORDON BALLENSKY FNP
3204 PHILLIPS ST
BUTTE, MT 59701-4526
Phone number: 406-490-0756
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