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1487861258
GLENN ANTHONY BALESTINO
FPO, AE
NPI
1487861258
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2007-05-17
Last Update Date
2008-04-20
Business Address
Mr. GLENN ANTHONY BALESTINO IDC
USS VELLA GULF CG 72
FPO, AE 09590-1192
Phone number: 757-444-9922
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Mailing Address
Mr. GLENN ANTHONY BALESTINO IDC
13 GREENELAND BLVD
PORTSMOUTH, VA 23701-2020
Phone number: 757-445-6029
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