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1174204200
TAWANDA BETTY BALLARD
FAIRBANKS, AK
NPI
1174204200
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2023-07-31
Last Update Date
2023-07-31
Business Address
TAWANDA BETTY BALLARD
1825 MARIKA RD
FAIRBANKS, AK 99709-5521
Phone number: 570-604-3984
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Mailing Address
TAWANDA BETTY BALLARD
PO BOX 70612
FAIRBANKS, AK 99707-0612
Phone number: 570-604-3984
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