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1275385361
ELISE D BALLARD
MUNSTER, IN
NPI
1275385361
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IN 71015171A)
Enumeration Date
2024-04-03
Last Update Date
2024-06-10
Business Address
ELISE D BALLARD NP
10120 CALUMET AVE STE 103
MUNSTER, IN 46321-4076
Phone number: 219-836-2936
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Mailing Address
ELISE D BALLARD NP
120 W 22ND ST
OAK BROOK, IL 60523-1557
Phone number: 630-573-5000
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