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1255689311
JOHN BALLOU
NORTH LAS VEGAS, NV
NPI
1255689311
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225400000X Rehabilitation Practitioner
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2012-08-21
Last Update Date
2013-03-26
Business Address
JOHN BALLOU
3020 SUNRISE BAY AVE
NORTH LAS VEGAS, NV 89031-0540
Phone number: 702-675-0201
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Mailing Address
JOHN BALLOU
3020 SUNRISE BAY AVE
NORTH LAS VEGAS, NV 89031-0540
Phone number: 702-675-0201
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