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1922646975
RYAN JEFFREY BALBACAL
GAINESVILLE, FL
NPI
1922646975
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: FL APRN11005458)
Enumeration Date
2019-12-19
Last Update Date
2019-12-19
Business Address
RYAN JEFFREY BALBACAL APRN
1600 SW ARCHER RD
GAINESVILLE, FL 32610-3003
Phone number: 352-265-0111
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Mailing Address
RYAN JEFFREY BALBACAL APRN
8283 NW 54TH TER
GAINESVILLE, FL 32653-6145
Phone number: 352-283-3518
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