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1982237046
MICHAEL ROBERT BALAK
SAINT JOSEPH, MO
NPI
1982237046
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MO 2020005223)
Enumeration Date
2020-02-18
Last Update Date
2020-02-18
Business Address
Mr. MICHAEL ROBERT BALAK
802 N RIVERSIDE RD STE 150
SAINT JOSEPH, MO 64507-2508
Phone number: 816-271-4025
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Mailing Address
Mr. MICHAEL ROBERT BALAK
3411 E COLONY SQ
SAINT JOSEPH, MO 64506-1506
Phone number: 816-390-7509
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