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1366764276
NICHOLAS MARK BALOGA
KNOXVILLE, TN
NPI
1366764276
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: TN 1801)
Enumeration Date
2010-02-18
Last Update Date
2019-11-20
Business Address
NICHOLAS MARK BALOGA PA-C
1932 ALCOA HWY STE 360
KNOXVILLE, TN 37920-1509
Phone number: 865-524-1869
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Mailing Address
NICHOLAS MARK BALOGA PA-C
1932 ALCOA HWY STE 360
KNOXVILLE, TN 37920-1509
Phone number: 865-524-1869
Copy
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