DERRICK BALLARD

DAYTON, OH
NPI1144876285
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2019-08-14
Last Update Date2019-08-14
Business Address
DERRICK BALLARD
7695 POE AVE
DAYTON, OH 45414-2552
Phone number: 614-339-1649
Mailing Address
DERRICK BALLARD
7695 POE AVE
DAYTON, OH 45414-2552
Phone number: 614-339-1649
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