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1871840413
STEPHANIE ANN BALLARD
GRAND RAPIDS, MI
NPI
1871840413
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: MI 5201009328)
Enumeration Date
2012-08-14
Last Update Date
2015-10-21
Business Address
-- STEPHANIE ANN BALLARD MS OTR/L
1717 BURKE AVE NE
GRAND RAPIDS, MI 49505-4879
Phone number: 517-282-1901
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Mailing Address
-- STEPHANIE ANN BALLARD MS OTR/L
1717 BURKE AVE NE
GRAND RAPIDS, MI 49505-4879
Phone number: 517-282-1901
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