JESSICA BALLARD

POPLAR GROVE, IL
NPI1568000768
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IL  096004283)
Enumeration Date2019-12-18
Last Update Date2019-12-18
Business Address
JESSICA BALLARD MS, ATC
17823 POPLAR GROVE RD
POPLAR GROVE, IL 61065-9014
Phone number: 815-765-3311
Mailing Address
JESSICA BALLARD MS, ATC
8369 DELTA DR APT 4
MACHESNEY PARK, IL 61115-4443
Phone number:
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