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1710981519
JEFFREY DAVID BALLER
POPLAR BLUFF, MO
NPI
1710981519
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
213ES0103X Podiatrist, Foot & Ankle Surgery
(Licence: MO 2009020599)
Enumeration Date
2005-06-09
Last Update Date
2019-08-02
Business Address
Dr. JEFFREY DAVID BALLER D.P.M.
2600 KANELL BLVD
POPLAR BLUFF, MO 63901-3001
Phone number: 573-785-4546
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Mailing Address
Dr. JEFFREY DAVID BALLER D.P.M.
2600 KANELL BLVD
POPLAR BLUFF, MO 63901-3001
Phone number: 573-785-4546
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