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1164696845
STEPHEN ANTHONY BALLISTREA
BAYONET POINT, FL
NPI
1164696845
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
111NR0400X
(Licence: FL CH 8075)
Enumeration Date
2008-04-14
Last Update Date
2011-02-08
Business Address
Dr. STEPHEN ANTHONY BALLISTREA D.C., B.S.
7236 STATE ROAD 52 SUITE 3
BAYONET POINT, FL 34667-6789
Phone number: 727-868-4444
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Mailing Address
Dr. STEPHEN ANTHONY BALLISTREA D.C., B.S.
7236 STATE ROAD 52 STE 3
BAYONET POINT, FL 34667-6749
Phone number: 727-868-4444
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