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1972268134
JESSICA BALONIS
COLUMBIA, MD
NPI
1972268134
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MD R214072)
Enumeration Date
2021-11-03
Last Update Date
2021-11-03
Business Address
JESSICA BALONIS CRNP
5457 TWIN KNOLLS RD
COLUMBIA, MD 21045-3259
Phone number: 888-523-6000
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Mailing Address
JESSICA BALONIS CRNP
2101 GREY FOX CT
GAMBRILLS, MD 21054-1727
Phone number: 443-760-6898
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