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1174818389
KELI WOOD BALLARD
JACKSON, MS
NPI
1174818389
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MS R880004)
Enumeration Date
2011-06-15
Last Update Date
2012-06-15
Business Address
Mrs. KELI WOOD BALLARD FNP-C
2500 N STATE ST
JACKSON, MS 39216-4500
Phone number: 601-415-0744
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Mailing Address
Mrs. KELI WOOD BALLARD FNP-C
2500 N STATE ST
JACKSON, MS 39216-4500
Phone number: 601-415-0744
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