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1609811512
MARIJEAN DALE BALLARD
DEATSVILLE, AL
NPI
1609811512
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: AL 610)
Enumeration Date
2006-06-17
Last Update Date
2014-08-15
Business Address
-- MARIJEAN DALE BALLARD ATC
289 SUMMERTIME PKWY
DEATSVILLE, AL 36022-5371
Phone number: 205-601-5160
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Mailing Address
-- MARIJEAN DALE BALLARD ATC
289 SUMMERTIME PKWY
DEATSVILLE, AL 36022-5371
Phone number: 205-601-5160
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