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1205837200
JEFFREY LAWRENCE BALLARD
ORANGE, CA
NPI
1205837200
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2086S0129X Surgery, Vascular Surgery
(Licence: CA G61836)
Enumeration Date
2005-08-02
Last Update Date
2008-08-18
Business Address
-- JEFFREY LAWRENCE BALLARD M.D.
1140 W LA VETA AVE STE. 850
ORANGE, CA 92868-4225
Phone number: 714-560-4450
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Mailing Address
-- JEFFREY LAWRENCE BALLARD M.D.
PO BOX 6898
ORANGE, CA 92863-6898
Phone number: 714-571-5000
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