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1134525884
NINOLA BALABAN
BUFORD, GA
NPI
1134525884
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: GA PTA003284)
Enumeration Date
2014-11-07
Last Update Date
2014-11-13
Business Address
MRS. NINOLA BALABAN
3405 CHASE ST
BUFORD, GA 30519-7908
Phone number: 770-807-5554
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Mailing Address
MRS. NINOLA BALABAN
3405 CHASE ST
BUFORD, GA 30519-7908
Phone number: 770-807-5554
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