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1083037691
STEPHANIE TRENT BALLARD
JACKSONVILLE, NC
NPI
1083037691
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NC 0010-04664)
Enumeration Date
2014-02-03
Last Update Date
2020-06-15
Business Address
STEPHANIE TRENT BALLARD Physician Assistant
2587 HENDERSON DR
JACKSONVILLE, NC 28546-5253
Phone number: 910-938-3200
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Mailing Address
STEPHANIE TRENT BALLARD Physician Assistant
2587 HENDERSON DR
JACKSONVILLE, NC 28546-5253
Phone number: 910-938-3200
Copy
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