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1710264528
JASON WILLARD BALLS
ORLANDO, FL
NPI
1710264528
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: FL PA 9106156)
Enumeration Date
2011-11-08
Last Update Date
2016-11-10
Business Address
-- JASON WILLARD BALLS PA
2415 N ORANGE AVE STE 601
ORLANDO, FL 32804-5558
Phone number: 407-303-2070
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Mailing Address
-- JASON WILLARD BALLS PA
2415 N ORANGE AVE STE 601
ORLANDO, FL 32804-5558
Phone number: 407-303-2070
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