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1568525921
KATHLEEN M BALANTIC
GROTON, CT
NPI
1568525921
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: CT 6429)
Enumeration Date
2006-12-18
Last Update Date
2016-05-26
Business Address
-- KATHLEEN M BALANTIC APRN
75 EASTERN POINT RD
GROTON, CT 06340-4905
Phone number: 860-833-9390
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Mailing Address
-- KATHLEEN M BALANTIC APRN
75 EASTERN POINT RD
GROTON, CT 06340-4905
Phone number: 860-833-9390
Copy
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