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1902338767
JACQUELINE MICHELLE SOEGAARD BALLESTER
PHILADELPHIA, PA
NPI
1902338767
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
208600000X Surgery
(Licence: PA MT213455)
Enumeration Date
2017-03-31
Last Update Date
2017-09-09
Business Address
Dr. JACQUELINE MICHELLE SOEGAARD BALLESTER MD
3400 SPRUCE ST HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA, 4 MALONEY
PHILADELPHIA, PA 19104-4238
Phone number: 787-548-7440
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Mailing Address
Dr. JACQUELINE MICHELLE SOEGAARD BALLESTER MD
3400 SPRUCE ST
PHILADELPHIA, PA 19104
Phone number: 215-531-2908
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