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1588481998
DAVID BALLAM
NORTH HOLLYWOOD, CA
NPI
1588481998
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-09-25
Last Update Date
2024-09-25
Business Address
DAVID BALLAM
10821 BLIX ST APT 201
NORTH HOLLYWOOD, CA 91602-3805
Phone number: 818-809-7008
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Mailing Address
DAVID BALLAM
10821 BLIX ST APT 201
NORTH HOLLYWOOD, CA 91602-3805
Phone number: 818-809-7008
Copy
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