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1467071324
CRYSTAL S BALLARD
MILWAUKEE, WI
NPI
1467071324
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: WI 303411-31)
Enumeration Date
2020-04-10
Last Update Date
2020-04-10
Business Address
CRYSTAL S BALLARD 303411:LPN
6943 W FLORIST AVE
MILWAUKEE, WI 53218-1842
Phone number: 414-243-2583
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Mailing Address
CRYSTAL S BALLARD 303411:LPN
6943 W FLORIST AVE
MILWAUKEE, WI 53218-1842
Phone number: 414-243-2583
Copy
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