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1154064061
LACEY CAMILLE BALLARD
MEMPHIS, TN
NPI
1154064061
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-04-18
Last Update Date
2022-04-18
Business Address
LACEY CAMILLE BALLARD
875 MONROE AVE
MEMPHIS, TN 38103-4901
Phone number: 901-448-6128
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Mailing Address
LACEY CAMILLE BALLARD
875 MONROE AVE
MEMPHIS, TN 38103-4901
Phone number: 901-448-6128
Copy
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