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1407241771
STEPHANIE BALLARD
SAINT LOUIS, MO
NPI
1407241771
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MO 2014042991)
Enumeration Date
2015-04-02
Last Update Date
2015-04-02
Business Address
-- STEPHANIE BALLARD FNP-BC
3655 VISTA AVE
SAINT LOUIS, MO 63110-2539
Phone number: 314-577-8000
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Mailing Address
-- STEPHANIE BALLARD FNP-BC
3655 VISTA AVE
SAINT LOUIS, MO 63110-2539
Phone number: 314-577-8000
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