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1255847216
BALLANTINES FABRIZIO ALEGRE
ERIE, PA
NPI
1255847216
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: PA OT018185)
Enumeration Date
2017-12-28
Last Update Date
2017-12-28
Business Address
BALLANTINES FABRIZIO ALEGRE DO
5515 PEACH ST
ERIE, PA 16509-2603
Phone number: 540-645-7114
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Mailing Address
BALLANTINES FABRIZIO ALEGRE DO
5515 PEACH ST
ERIE, PA 16509-2603
Phone number: 540-645-7114
Copy
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