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1285657486
ELISSA R BALLAS
TRAVIS AFB, CA
NPI
1285657486
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: NE 2242)
Enumeration Date
2006-07-26
Last Update Date
2024-07-01
Business Address
Dr. ELISSA R BALLAS DO
101 BODIN CIR
TRAVIS AFB, CA 94535
Phone number: 707-423-7210
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Mailing Address
Dr. ELISSA R BALLAS DO
101 BODIN CIR
TRAVIS AFB, CA 94535-1809
Phone number:
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