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1356013981
JOSEY DESLYNN BALLARD
ARDMORE, OK
NPI
1356013981
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Former Name
JOSEY DESLYNN BROOKS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: OK 2367)
Enumeration Date
2021-10-01
Last Update Date
2024-07-11
Business Address
JOSEY DESLYNN BALLARD COTA/L
1301 KIOWA ST
ARDMORE, OK 73401-2280
Phone number: 580-670-3117
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Mailing Address
JOSEY DESLYNN BALLARD COTA/L
1301 KIOWA ST
ARDMORE, OK 73401-2280
Phone number: 580-670-3117
Copy
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