SHANNON BALLARD

JACKSON, MS
NPI1811724453
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2024-09-17
Last Update Date2024-09-17
Business Address
SHANNON BALLARD
2500 N STATE ST
JACKSON, MS 39216-4500
Phone number: 601-984-5012
Mailing Address
SHANNON BALLARD
2500 N STATE ST ATTN SCHOOL OF MEDICINE
JACKSON, MS 39216-4500
Phone number: 601-984-5012
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