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1346245792
ROBERT S BALLER
BLOOMINGTON, IL
NPI
1346245792
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207W00000X Ophthalmology
(Licence: IL 036040225)
Enumeration Date
2005-06-14
Last Update Date
2007-07-08
Business Address
-- ROBERT S BALLER MD
1228 N TOWANDA AVENUE
BLOOMINGTON, IL 61701-3469
Phone number: 309-662-3937
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Mailing Address
-- ROBERT S BALLER MD
1228 N TOWANDA AVENUE
BLOOMINGTON, IL 61701-3469
Phone number: 309-662-3937
Copy
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