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1669253308
THERESA LEE BALLOY
SHAKOPEE, MN
NPI
1669253308
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: MN 2261025)
Enumeration Date
2023-10-09
Last Update Date
2023-10-09
Business Address
THERESA LEE BALLOY
2540 ONYX DR
SHAKOPEE, MN 55379-2769
Phone number: 743-913-1658
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Mailing Address
THERESA LEE BALLOY
23341 ARROWHEAD ST NW
SAINT FRANCIS, MN 55070-9587
Phone number: 763-913-1658
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