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1386766590
ELIZABETH A BALOG
BALTIMORE, MD
NPI
1386766590
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: MD 04863)
Enumeration Date
2007-04-06
Last Update Date
2007-07-08
Business Address
ELIZABETH A BALOG OT
707 N BROADWAY
BALTIMORE, MD 21205-1832
Phone number: 443-923-1886
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Mailing Address
ELIZABETH A BALOG OT
2931 E BIDDLE ST
BALTIMORE, MD 21213-3939
Phone number:
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