MARY BALLOU

WINTER PARK, FL
NPI1336445147
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LX0001X Nurse Practitioner, Obstetrics & Gynecology
(Licence: FL  ARNP2075302)
Enumeration Date2011-01-27
Last Update Date2012-02-22
Business Address
-- MARY BALLOU ARNP
1551 CLAY ST
WINTER PARK, FL 32789-5499
Phone number: 407-644-5371
Mailing Address
-- MARY BALLOU ARNP
PO BOX 25317
TAMPA, FL 33622-5317
Phone number: 813-286-0033
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