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1437671286
GEORGIA BALLEM
WATERVILLE, ME
NPI
1437671286
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: ME EC171046)
Enumeration Date
2017-07-13
Last Update Date
2017-07-13
Business Address
GEORGIA BALLEM MD
149 MAIN ST
WATERVILLE, ME 04901-6623
Phone number: 207-453-0322
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Mailing Address
GEORGIA BALLEM MD
10 WATER ST STE 202
WATERVILLE, ME 04901-6565
Phone number: 207-873-9841
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