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Individual

KIRSTEN N BALOG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1881 UNIVERSITY DR, VIRGINIA BEACH, VA 23453-8083
(757) 683-4297
(757) 683-5253
Mailing address
113 RIVERSIDE DR, YORKTOWN, VA 23692-3412
(757) 344-4757

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
06/06/2025
Last updated
06/06/2025
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