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1952806861
ADAM BALAMUTH
LEBANON, NH
NPI
1952806861
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NH 1104)
Enumeration Date
2018-03-25
Last Update Date
2018-03-25
Business Address
ADAM BALAMUTH PTA
24 OLD ETNA RD
LEBANON, NH 03766-1937
Phone number: 603-448-2234
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Mailing Address
ADAM BALAMUTH PTA
139 JACKSON DR
WASHINGTON, NH 03280-3482
Phone number: 802-376-3361
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