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1558342006
RICHARD MELVIN BALABAN
BLOOMINGTON, IN
NPI
1558342006
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: IN 20010327)
Enumeration Date
2005-11-10
Last Update Date
2007-10-30
Business Address
-- RICHARD MELVIN BALABAN PhD
101 W KIRKWOOD AVE SUITE 213
BLOOMINGTON, IN 47404-6129
Phone number: 812-332-9200
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Mailing Address
-- RICHARD MELVIN BALABAN PhD
101 W. KIRKWOOD AVE SUITE 213
BLOOMINGTON, IN 47404-6134
Phone number: 812-332-9200
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