GEORGE HERBERT BALLANTINE

CORRALES, NM
NPI1154447183
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: NM  771)
Enumeration Date2007-03-21
Last Update Date2007-07-08
Business Address
-- GEORGE HERBERT BALLANTINE SLP
266 OLD CHURCH RD
CORRALES, NM 87048-8657
Phone number: 505-890-9064
Mailing Address
-- GEORGE HERBERT BALLANTINE SLP
266 OLD CHURCH RD
CORRALES, NM 87048-8657
Phone number: 505-890-9064
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