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1700992401
SUSAN KAYE BALCIULIS
BETTENDORF, IA
NPI
1700992401
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IA 24312)
Enumeration Date
2006-08-22
Last Update Date
2007-07-08
Business Address
-- SUSAN KAYE BALCIULIS MD
1004 STATE ST
BETTENDORF, IA 52722-4856
Phone number: 563-355-5535
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Mailing Address
-- SUSAN KAYE BALCIULIS MD
555 VALLEY VIEW DR
MOLINE, IL 61265-6138
Phone number: 309-743-7308
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