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1093806838
REGINA GAIL BALLARD
MCALESTER, OK
NPI
1093806838
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner Pediatrics
(Licence: OK R0078895)
Enumeration Date
2006-09-27
Last Update Date
2007-07-08
Business Address
REGINA GAIL BALLARD ARNP
810 S GEORGE NIGH EXPY
MCALESTER, OK 74501-7279
Phone number: 918-423-4900
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Mailing Address
REGINA GAIL BALLARD ARNP
PO BOX 87
GOWEN, OK 74545-0087
Phone number: 918-470-7014
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