JACOB E BALLARD

MONTGOMERY, AL
NPI1558645713
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: AL  1049)
Enumeration Date2011-10-06
Last Update Date2011-10-06
Business Address
-- JACOB E BALLARD ATC
464 SAINT LUKES DR
MONTGOMERY, AL 36117-7104
Phone number: 334-272-0853
Mailing Address
-- JACOB E BALLARD ATC
464 SAINT LUKES DR
MONTGOMERY, AL 36117-7104
Phone number: 334-272-0853
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