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1205309861
CHARLES W BALLARD
OKLAHOMA CITY, OK
NPI
1205309861
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
175T00000X Peer Specialist
Enumeration Date
2019-01-07
Last Update Date
2019-01-07
Business Address
CHARLES W BALLARD
8500 NW 112TH TER
OKLAHOMA CITY, OK 73162-2131
Phone number: 316-390-9673
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Mailing Address
CHARLES W BALLARD
8500 NW 112TH TER
OKLAHOMA CITY, OK 73162-2131
Phone number: 316-390-9673
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