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1215257175
ELIZABETH ANNE BALJAK
PICKERINGTON, OH
NPI
1215257175
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Former Name
ELIZABETH ANNE LACASCE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: OH COA.11381-np)
Enumeration Date
2010-06-02
Last Update Date
2022-04-25
Business Address
ELIZABETH ANNE BALJAK CNP
8535 REFUGEE RD
PICKERINGTON, OH 43147-9625
Phone number: 740-205-2007
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Mailing Address
ELIZABETH ANNE BALJAK CNP
PO BOX 725
PATASKALA, OH 43062-0725
Phone number: 740-975-4278
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