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1780654392
MARK W BALLES
PORTLAND, ME
NPI
1780654392
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207W00000X Ophthalmology
(Licence: ME 014047)
Enumeration Date
2006-01-25
Last Update Date
2010-01-07
Business Address
-- MARK W BALLES M.D.
195 FORE RIVER PKWY STE 480
PORTLAND, ME 04102-2787
Phone number: 207-773-3937
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Mailing Address
-- MARK W BALLES M.D.
195 FORE RIVER PKWY STE 480
PORTLAND, ME 04102-2787
Phone number: 207-773-3937
Copy
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