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1134617277
TIFFANY BALLARD
WILKES BARRE, PA
NPI
1134617277
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: PA PN298596)
Enumeration Date
2018-04-24
Last Update Date
2018-04-24
Business Address
TIFFANY BALLARD
1111 E END BLVD
WILKES BARRE, PA 18711-0030
Phone number: 570-824-3521
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Mailing Address
TIFFANY BALLARD
131 CENTER AVE APT 1
PLYMOUTH, PA 18651-2234
Phone number:
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