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1437127362
BRYAN A BALLOT
ST PETERSBURG, FL
NPI
1437127362
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology Psychiatry
(Licence: MO R3K74)
Enumeration Date
2006-03-08
Last Update Date
2012-11-26
Business Address
DR. BRYAN A BALLOT M.D.
140 FOUNTAIN PKWY N SUITE 600
ST PETERSBURG, FL 33716-1285
Phone number: 727-575-8006
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Mailing Address
DR. BRYAN A BALLOT M.D.
140 FOUNTAIN PKWY N SUITE 600
ST PETERSBURG, FL 33716-1285
Phone number: 727-575-8006
Copy
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