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1184883407
PHILIP BALLENSKI
LOVELAND, CO
NPI
1184883407
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CO 83)
Enumeration Date
2008-06-02
Last Update Date
2008-06-02
Business Address
-- PHILIP BALLENSKI PA
2021 BOISE AVE
LOVELAND, CO 80538-5037
Phone number: 970-669-3298
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Mailing Address
-- PHILIP BALLENSKI PA
2021 BOISE AVE
LOVELAND, CO 80538-5037
Phone number:
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