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1659686350
CHANTEEL A BALLARD
SALT LAKE CITY, UT
NPI
1659686350
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: UT 198239-4405)
Enumeration Date
2010-08-18
Last Update Date
2021-10-19
Business Address
Mrs. CHANTEEL A BALLARD APRN
1950 CIRCLE OF HOPE CLINIC 3A
SALT LAKE CITY, UT 84112-5500
Phone number: 801-585-0100
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Mailing Address
Mrs. CHANTEEL A BALLARD APRN
127 S 500 E STE 600
SALT LAKE CITY, UT 84102-1971
Phone number: 801-587-6705
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