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1154043230
SARAH JORDAN BALLINGER
LAKE VILLAGE, AR
NPI
1154043230
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: AR OT-A1706)
Enumeration Date
2022-09-14
Last Update Date
2022-09-14
Business Address
SARAH JORDAN BALLINGER COTA/L
112 BRANTLEY RD
LAKE VILLAGE, AR 71653-7585
Phone number: 662-931-3221
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Mailing Address
SARAH JORDAN BALLINGER COTA/L
112 BRANTLEY RD
LAKE VILLAGE, AR 71653-7585
Phone number: 662-931-3221
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