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1679948293
JACK BALLARD
SILVERDALE, WA
NPI
1679948293
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225700000X Massage Therapist
(Licence: WA 60473288)
Enumeration Date
2015-12-08
Last Update Date
2015-12-08
Business Address
-- JACK BALLARD L.M.P
10513 SILVERDALE WAY NW STE 101
SILVERDALE, WA 98383-9499
Phone number: 360-698-4411
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Mailing Address
-- JACK BALLARD L.M.P
10513 SILVERDALE WAY SUITE 101
SILVERDALE, WA 98383
Phone number: 360-698-4411
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