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1285240523
BURLEY WALTER BALL
COEBURN, VA
NPI
1285240523
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
172A00000X Driver
(Licence: VA T64011149)
Enumeration Date
2020-09-22
Last Update Date
2020-09-22
Business Address
Mr. BURLEY WALTER BALL
4313 BUCKINGHAM RD
COEBURN, VA 24230
Phone number: 276-395-1323
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Mailing Address
Mr. BURLEY WALTER BALL
PO BOX 208
COEBURN, VA 24230-0208
Phone number: 276-395-1323
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