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1538807086
ALEXANDRA NICOLE BALLARD
PHILADELPHIA, PA
NPI
1538807086
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: PA OT021643)
Enumeration Date
2022-05-24
Last Update Date
2022-05-24
Business Address
ALEXANDRA NICOLE BALLARD
10800 KNIGHTS RD
PHILADELPHIA, PA 19114-4200
Phone number: 215-612-5161
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Mailing Address
ALEXANDRA NICOLE BALLARD
10800 KNIGHTS RD
PHILADELPHIA, PA 19114-4200
Phone number: 215-612-5161
Copy
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