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1003647363
SHANNON BALLARD
WINTERVILLE, NC
NPI
1003647363
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
3747A0650X Technician Attendant Care Provider
Enumeration Date
2024-08-09
Last Update Date
2024-08-09
Business Address
SHANNON BALLARD
4800 TREVETT CIR
WINTERVILLE, NC 28590-9778
Phone number: 919-809-0442
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Mailing Address
SHANNON BALLARD
4800 TREVETT CIR
WINTERVILLE, NC 28590-9778
Phone number: 919-809-0442
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