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1487770137
AMY V BALLOU
DAYTONA BEACH, FL
NPI
1487770137
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2007-03-22
Last Update Date
2012-08-08
Business Address
Mrs. AMY V BALLOU BA
1150 RED JOHN DR
DAYTONA BEACH, FL 32124-1016
Phone number: 386-236-1812
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Mailing Address
Mrs. AMY V BALLOU BA
1150 RED JOHN DR
DAYTONA BEACH, FL 32124-1016
Phone number: 386-236-1812
Copy
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