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1053809616
JESSICA BALLARD
MISSOULA, MT
NPI
1053809616
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
174N00000X Lactation Consultant, Non-RN
Enumeration Date
2018-04-28
Last Update Date
2018-04-28
Business Address
JESSICA BALLARD CLC
177 S EASY ST
MISSOULA, MT 59802-5485
Phone number: 309-333-5166
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Mailing Address
JESSICA BALLARD CLC
177 S EASY ST
MISSOULA, MT 59802-5485
Phone number:
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