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1275855116
MONICA BALLOU
SUFFERN, NY
NPI
1275855116
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 266721)
Enumeration Date
2010-02-19
Last Update Date
2010-02-19
Business Address
-- MONICA BALLOU LPN
99 WASHINGTON AVE
SUFFERN, NY 10901-6026
Phone number: 845-357-4500
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Mailing Address
-- MONICA BALLOU LPN
63 FRANK CT
MONROE, NY 10950-3955
Phone number: 845-783-3943
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