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Individual

MELEANE BALABAGNO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTA

Contact information

Practice address
127 CARTER ST, RICHMOND HILL, GA 31324-3753
(912) 756-6131
Mailing address
127 CARTER ST, RICHMOND HILL, GA 31324-3753

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA001540
GA

Other

Enumeration date
09/22/2014
Last updated
09/22/2014
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