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1770863201
JIM BALLARD
YUKON, OK
NPI
1770863201
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: OK 11306)
Enumeration Date
2011-08-29
Last Update Date
2011-08-29
Business Address
-- JIM BALLARD pharmd
209 ROCK CREEK RD
YUKON, OK 73099-4438
Phone number: 405-350-1251
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Mailing Address
-- JIM BALLARD pharmd
209 ROCK CREEK RD
YUKON, OK 73099-4438
Phone number: 405-350-1251
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