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1154093847
BA VENTURES LLC
ROSEBURG, OR
NPI
1154093847
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Entity Type
Organization
Authorized Contact
BALA AMBATI
Medical Director
541-343-5000
Organization Subpart ?
No
Primary Taxonomy
207L00000X Anesthesiology
Enumeration Date
2021-09-30
Last Update Date
2023-07-12
Business Address
BA VENTURES LLC
2435 NW KLINE ST
ROSEBURG, OR 97471-1687
Phone number: 541-673-8182
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Mailing Address
BA VENTURES LLC
2435 NW KLINE ST
ROSEBURG, OR 97471-1687
Phone number: 541-343-5000
Copy
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