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1386315695
GARRETT CLYDE BALLO
JACKSONVILLE, NC
NPI
1386315695
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1710I1002X Military Health Care Provider Independent Duty Corpsman
Enumeration Date
2021-09-26
Last Update Date
2021-11-09
Business Address
GARRETT CLYDE BALLO MILITARY PROVIDER
116 MOSS CREEK DR
JACKSONVILLE, NC 28540-3231
Phone number: 805-305-1868
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Mailing Address
GARRETT CLYDE BALLO MILITARY PROVIDER
610 LOOP RD
SNEADS FERRY, NC 28460
Phone number:
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