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1770358780
MIKAYLA LAUREN BALLARD
LITTLE ROCK, AR
NPI
1770358780
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: AR 226569)
Enumeration Date
2023-11-20
Last Update Date
2023-11-20
Business Address
MIKAYLA LAUREN BALLARD APRN
8924 KANIS RD
LITTLE ROCK, AR 72205-6414
Phone number: 501-455-2712
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Mailing Address
MIKAYLA LAUREN BALLARD APRN
PO BOX 497
AUGUSTA, AR 72006-0497
Phone number: 870-347-2534
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