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1316352362
KATHLEEN MARIE BALLARD
PORTLAND, ME
NPI
1316352362
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: ME PA1494)
Enumeration Date
2014-06-29
Last Update Date
2023-11-08
Business Address
KATHLEEN MARIE BALLARD PA-C
22 BRAMHALL ST
PORTLAND, ME 04102-3134
Phone number: 207-774-2381
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Mailing Address
KATHLEEN MARIE BALLARD PA-C
887 CONGRESS ST STE 400
PORTLAND, ME 04102-3163
Phone number: 207-774-6368
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