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1336534841
ERICA BALLER
PHILADELPHIA, PA
NPI
1336534841
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: PA MD461410)
Enumeration Date
2015-04-01
Last Update Date
2020-07-08
Business Address
ERICA BALLER
3400 SPRUCE ST
PHILADELPHIA, PA 19104-4238
Phone number: 215-662-7119
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Mailing Address
ERICA BALLER
3400 SPRUCE ST
PHILADELPHIA, PA 19104-4238
Phone number: 215-662-7119
Copy
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