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1194118455
DARRELL BALLARD
NORTH LAS VEGAS, NV
NPI
1194118455
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2015-03-11
Last Update Date
2015-03-11
Business Address
-- DARRELL BALLARD
4104 HERBLINDA LN
NORTH LAS VEGAS, NV 89032-2707
Phone number: 702-351-1416
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Mailing Address
-- DARRELL BALLARD
4104 HERBLINDA LN
NORTH LAS VEGAS, NV 89032-2707
Phone number: 702-351-1416
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