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1356311518
MICHAEL F BALLARD
MILLINGTON, TN
NPI
1356311518
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Other Name
MICHAEL F BALLARD
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2006-01-23
Last Update Date
2007-07-08
Business Address
-- MICHAEL F BALLARD IDC
5722 INTEGRITY DR BLDG S771
MILLINGTON, TN 38054-5028
Phone number: 901-874-6100
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Mailing Address
-- MICHAEL F BALLARD IDC
7698 KIOWA ST
MILLINGTON, TN 38053-3248
Phone number: 901-872-7848
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