AMANDA M BALLARD

LEBANON, KY
NPI1285969055
Former NameAMANDA M MATTINGLY
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy152W00000X Optometrist
(Licence: KY  1792DT)
Enumeration Date2009-10-12
Last Update Date2010-06-14
Business Address
-- AMANDA M BALLARD OD
325 W WALNUT ST STE400
LEBANON, KY 40033-1377
Phone number: 502-955-2020
Mailing Address
-- AMANDA M BALLARD OD
5855 RELIABLE PKWY
CHICAGO, IL 60686-0001
Phone number: 502-955-2020
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