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1336445147
MARY BALLOU
WINTER PARK, FL
NPI
1336445147
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LX0001X Nurse Practitioner, Obstetrics & Gynecology
(Licence: FL ARNP2075302)
Enumeration Date
2011-01-27
Last Update Date
2012-02-22
Business Address
-- MARY BALLOU ARNP
1551 CLAY ST
WINTER PARK, FL 32789-5499
Phone number: 407-644-5371
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Mailing Address
-- MARY BALLOU ARNP
PO BOX 25317
TAMPA, FL 33622-5317
Phone number: 813-286-0033
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