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1316762412
DAMON LAMARR BALLOU
BAKERSFIELD, CA
NPI
1316762412
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: CA 95191426)
Enumeration Date
2024-11-22
Last Update Date
2024-11-22
Business Address
DAMON LAMARR BALLOU
702 WORKMAN ST
BAKERSFIELD, CA 93307-6800
Phone number: 559-558-4051
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Mailing Address
DAMON LAMARR BALLOU
3433 W SHAW AVE
FRESNO, CA 93711-3229
Phone number: 559-558-4051
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