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1497218739
BRIAN M BALLARD
POMONA, CA
NPI
1497218739
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2019-04-12
Last Update Date
2022-05-24
Business Address
BRIAN M BALLARD
160 E ARTESIA ST STE 255
POMONA, CA 91767-2921
Phone number: 095-964-3469
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Mailing Address
BRIAN M BALLARD
27100 CHARDON RD
RICHMOND HEIGHTS, OH 44143-1116
Phone number:
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