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1790802775
RONALD BALLARD
DETROIT, MI
NPI
1790802775
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MI 5601002277)
Enumeration Date
2007-03-23
Last Update Date
2009-06-30
Business Address
-- RONALD BALLARD PA
2151 E JEFFERSON AVE
DETROIT, MI 48207-4161
Phone number: 615-778-4066
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Mailing Address
-- RONALD BALLARD PA
5080 SPECTRUM DR SUITE 1200 WEST
ADDISON, TX 75001-4648
Phone number: 972-364-8084
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