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1336589936
BALLARD GYNECOLOGY PROF LLC
RAPID CITY, SD
NPI
1336589936
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Entity Type
Organization
Authorized Contact
MARK C. BALLARD
Owner
605-791-4442
Organization Subpart ?
No
Primary Taxonomy
207V00000X Obstetrics & Gynecology
(Licence: SD 4683)
Enumeration Date
2013-06-27
Last Update Date
2013-06-27
Business Address
BALLARD GYNECOLOGY PROF LLC
208 FEDERAL AVE
RAPID CITY, SD 57702-2326
Phone number: 605-791-4442
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Mailing Address
BALLARD GYNECOLOGY PROF LLC
208 FEDERAL AVE
RAPID CITY, SD 57702-2326
Phone number: 605-791-4442
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