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1710550603
ROBERT BALLIET
MISHAWAKA, IN
NPI
1710550603
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2021-07-20
Last Update Date
2021-07-20
Business Address
ROBERT BALLIET MSW
1411 LINCOLNWAY W
MISHAWAKA, IN 46544-1626
Phone number: 574-533-1234
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Mailing Address
ROBERT BALLIET MSW
PO BOX 809
GOSHEN, IN 46527-0809
Phone number: 574-533-1234
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