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1881614691
LOREN Y BALLESTAS
BANGOR, ME
NPI
1881614691
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208M00000X Hospitalist
(Licence: ME 1816)
Enumeration Date
2006-07-21
Last Update Date
2016-09-30
Business Address
Dr. LOREN Y BALLESTAS DO
489 STATE ST
BANGOR, ME 04401-6616
Phone number: 207-973-7000
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Mailing Address
Dr. LOREN Y BALLESTAS DO
43 WHITING HILL RD STE 300
BREWER, ME 04412-1005
Phone number: 207-973-5035
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