DAVID WAYNE BALLARD

GROTON, CT
NPI1396804621
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2006-12-06
Last Update Date2008-12-29
Business Address
-- DAVID WAYNE BALLARD IDC
NAVAL UNDERSEA MEDICAL INSTITUTE SUBMARINE BASE
GROTON, CT 06349-5159
Phone number: 860-694-2876
Mailing Address
-- DAVID WAYNE BALLARD IDC
8 SHERWOOD TRACE
GALES FERRY, CT 06335
Phone number: 860-514-0873
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