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1003309311
JAMES KEITH BALLARD
BROOKHAVEN, MS
NPI
1003309311
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist General Practice
(Licence: MS 4005-18)
Enumeration Date
2018-06-11
Last Update Date
2018-06-11
Business Address
DR. JAMES KEITH BALLARD DMD
706 BROOKWAY BLVD
BROOKHAVEN, MS 39601-2640
Phone number: 601-823-3200
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Mailing Address
DR. JAMES KEITH BALLARD DMD
706 BROOKWAY BLVD
BROOKHAVEN, MS 39601-2640
Phone number: 601-823-3200
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