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1013075316
PEGGY BALLARD PLACE
GRASS VALLEY, CA
NPI
1013075316
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: CA 10309)
Enumeration Date
2006-12-05
Last Update Date
2007-07-08
Business Address
MS. PEGGY BALLARD PLACE F.N.P.
10052 ALTA SIERRA DR
GRASS VALLEY, CA 95949-6886
Phone number: 530-477-9100
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Mailing Address
MS. PEGGY BALLARD PLACE F.N.P.
16131 BROOKS RD
GRASS VALLEY, CA 95945-4314
Phone number: 530-273-1320
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