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1962710731
ELIZABETH BALANTA
STAMFORD, CT
NPI
1962710731
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
376G00000X Nursing Home Administrator
(Licence: NY 300524-1)
Enumeration Date
2010-09-15
Last Update Date
2010-10-22
Business Address
Miss ELIZABETH BALANTA LPN
12 COLUMBUS PL
STAMFORD, CT 06907-1610
Phone number: 203-360-0778
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Mailing Address
Miss ELIZABETH BALANTA LPN
12 COLUMBUS PL
STAMFORD, CT 06907-1610
Phone number: 203-360-0778
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