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1972509438
GANAPATHY BALA
PUEBLO, CO
NPI
1972509438
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207K00000X Allergy & Immunology
(Licence: CO 36577)
Enumeration Date
2005-06-21
Last Update Date
2015-12-04
Business Address
Mr. GANAPATHY BALA MD
1315 S PUEBLO BLVD
PUEBLO, CO 81005-2191
Phone number: 719-561-9757
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Mailing Address
Mr. GANAPATHY BALA MD
1315 S PUEBLO BLVD
PUEBLO, CO 81005-2191
Phone number: 719-561-9757
Copy
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