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1093989949
NATALYA BALLARD
REDLANDS, CA
NPI
1093989949
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA PA 19658)
Enumeration Date
2008-04-22
Last Update Date
2021-10-08
Business Address
NATALYA BALLARD
2 W FERN AVE
REDLANDS, CA 92373-5916
Phone number: 909-335-4148
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Mailing Address
NATALYA BALLARD
PO BOX 2200
REDLANDS, CA 92373-0722
Phone number: 909-335-4148
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