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1164456752
BALA C AYSOLA
GRAND BLANC, MI
NPI
1164456752
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: MI 4301062323)
Enumeration Date
2006-07-10
Last Update Date
2007-07-08
Business Address
-- BALA C AYSOLA M.D.
1 GENESYS PKWY
GRAND BLANC, MI 48439-8065
Phone number: 810-606-6499
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Mailing Address
-- BALA C AYSOLA M.D.
2432 GENESYS PKWY
GRAND BLANC, MI 48439-8069
Phone number: 810-606-6499
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