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1518405521
LISA BALLOG
TRENTON, MI
NPI
1518405521
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
183700000X Pharmacy Technician
(Licence: MI 5303002528)
Enumeration Date
2017-02-09
Last Update Date
2017-02-09
Business Address
Ms. LISA BALLOG cpht
3390 WEST RD
TRENTON, MI 48183-2323
Phone number: 734-676-6622
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Mailing Address
Ms. LISA BALLOG cpht
3390 WEST RD
TRENTON, MI 48183-2323
Phone number:
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