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1700189578
STEPHANIE BALLENTINE NELSON
COLUMBIA, TN
NPI
1700189578
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Former Name
STEPHANIE BALLENTINE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
(Licence: TN 251B00000x)
Enumeration Date
2010-12-16
Last Update Date
2013-11-06
Business Address
Mrs. STEPHANIE BALLENTINE NELSON BS
211 WAYNE ST
COLUMBIA, TN 38401-4526
Phone number: 931-560-3072
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Mailing Address
Mrs. STEPHANIE BALLENTINE NELSON BS
211 WAYNE ST
COLUMBIA, TN 38401-4526
Phone number: 931-490-1500
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