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1558870139
AUDRA BALLASH
LAKEWOOD RANCH, FL
NPI
1558870139
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: FL PA9116153)
Enumeration Date
2017-09-26
Last Update Date
2024-05-08
Business Address
AUDRA BALLASH PA
6600 UNIVERSITY PKWY STE 301
LAKEWOOD RANCH, FL 34240-9048
Phone number: 941-361-1100
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Mailing Address
AUDRA BALLASH PA
6600 UNIVERSITY PKWY STE 301
LAKEWOOD RANCH, FL 34240-9048
Phone number: 941-361-1100
Copy
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