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1548208069
SYNYA KAUHANE BALANON
TRAVIS AFB, CA
NPI
1548208069
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171000000X Military Health Care Provider
(Licence: IN 01055199A)
Enumeration Date
2006-06-04
Last Update Date
2021-12-13
Business Address
SYNYA KAUHANE BALANON MD
101 BODIN CIR
TRAVIS AFB, CA 94535-1809
Phone number: 707-423-5053
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Mailing Address
SYNYA KAUHANE BALANON MD
311 SAGE SPARROW CIR
VACAVILLE, CA 95687-7752
Phone number: 210-365-4041
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