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1831145374
KENNETH A. BALLOU
REDLANDS, CA
NPI
1831145374
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA G85841)
Enumeration Date
2006-05-26
Last Update Date
2015-08-07
Business Address
Dr. KENNETH A. BALLOU M.D.
2 W FERN AVE
REDLANDS, CA 92373-5916
Phone number: 909-793-3311
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Mailing Address
Dr. KENNETH A. BALLOU M.D.
PO BOX 10069
SAN BERNARDINO, CA 92423-0069
Phone number: 909-335-4188
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