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1003478702
AUTUMN BALLARD
SAVANNAH, TN
NPI
1003478702
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Former Name
AUTUMN BAUGUS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
Enumeration Date
2019-07-02
Last Update Date
2019-07-02
Business Address
AUTUMN BALLARD COTA/L
935 WAYNE RD
SAVANNAH, TN 38372-1904
Phone number: 731-727-8010
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Mailing Address
AUTUMN BALLARD COTA/L
65 SHANNON LN
COUNCE, TN 38326-2044
Phone number: 731-438-1140
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