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Individual
ELISA BALA
Active
Individual
ELISA BALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD, MSC
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
35.099121
OH
Other
Enumeration date
07/25/2008
Last updated
07/05/2012
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