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1659896421
ALEX MYCHAL BALL
HARRISBURG, OR
NPI
1659896421
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2017-08-13
Last Update Date
2022-07-21
Business Address
Mr. ALEX MYCHAL BALL ATC
1074 APPLEGATE PL
HARRISBURG, OR 97446-8703
Phone number: 541-995-1280
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Mailing Address
Mr. ALEX MYCHAL BALL ATC
1074 APPLEGATE PL
HARRISBURG, OR 97446-8703
Phone number: 541-995-1280
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