JAMES BROOK BALLOCH

FARMINGTON, CT
NPI1366062291
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: CT  12867)
Enumeration Date2020-04-21
Last Update Date2020-08-05
Business Address
JAMES BROOK BALLOCH
263 FARMINGTON AVE
FARMINGTON, CT 06030-0001
Phone number: 860-679-2000
Mailing Address
JAMES BROOK BALLOCH
25 KAREN DR
PORTLAND, CT 06480-1016
Phone number:
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