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1730101452
ANGELA N BALANON
DETROIT, MI
NPI
1730101452
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Former Name
ANGELA N BRANIECKI
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MI 5601994644)
Enumeration Date
2006-07-24
Last Update Date
2021-03-23
Business Address
Mrs. ANGELA N BALANON P.A.
2799 W GRAND BLVD
DETROIT, MI 48202-2608
Phone number: 313-598-2869
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Mailing Address
Mrs. ANGELA N BALANON P.A.
PO BOX 673671
DETROIT, MI 48267-0001
Phone number: 313-745-0770
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