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1437878071
ZACHARY BALLEK
SAINT LOUIS, MO
NPI
1437878071
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: MO 2022030314)
Enumeration Date
2022-08-25
Last Update Date
2022-08-25
Business Address
ZACHARY BALLEK AGACNP-BC
1201 S GRAND BLVD
SAINT LOUIS, MO 63104-1016
Phone number: 314-977-4750
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Mailing Address
ZACHARY BALLEK AGACNP-BC
9134 HERITAGE DR APT D
SAINT LOUIS, MO 63123-4153
Phone number: 314-221-7292
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