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1790115731
VERONICA BALLEK
MOUNTAIN HOME, ID
NPI
1790115731
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: ID PT-3367)
Enumeration Date
2013-11-12
Last Update Date
2013-11-12
Business Address
VERONICA BALLEK PT
895 N 6TH E
MOUNTAIN HOME, ID 83647-2207
Phone number: 208-587-8401
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Mailing Address
VERONICA BALLEK PT
368 GUNFIGHTER CT
MOUNTAIN HOME AFB, ID 83648-5006
Phone number: 208-590-5822
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