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1194572396
VANESSA IVETTE BALOUS
SANFORD, FL
NPI
1194572396
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner Psychiatric/Mental Health
(Licence: FL APRN671586)
Enumeration Date
2024-05-04
Last Update Date
2024-05-04
Business Address
VANESSA IVETTE BALOUS PMHNP
1260 UPSALA RD
SANFORD, FL 32771-6668
Phone number: 386-561-3873
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Mailing Address
VANESSA IVETTE BALOUS PMHNP
1618 AMBOY DR
DELTONA, FL 32738-5202
Phone number: 386-561-3873
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