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1184126260
SHELLY RAY BALLIET
PADUCAH, KY
NPI
1184126260
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: KY 3012051)
Enumeration Date
2018-03-05
Last Update Date
2018-04-10
Business Address
SHELLY RAY BALLIET APRN
225 MEDICAL CENTER DR STE 304
PADUCAH, KY 42003-7915
Phone number: 270-538-5596
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Mailing Address
SHELLY RAY BALLIET APRN
2200 JEFFERSON AVE 5TH FLOOR MERCY PHO/CVO
TOLEDO, OH 43604-7101
Phone number:
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