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1134685498
KATRINA U BALLARD
TAMPA, FL
NPI
1134685498
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
261QD1600X Clinic/Center, Developmental Disabilities
Enumeration Date
2019-02-12
Last Update Date
2019-02-12
Business Address
KATRINA U BALLARD
3622 N 55TH ST
TAMPA, FL 33619-1540
Phone number: 813-382-6752
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Mailing Address
KATRINA U BALLARD
3622 N 55TH ST
TAMPA, FL 33619-1540
Phone number: 813-382-6752
Copy
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