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1891533238
AUDRA BALLARD
SAN RAFAEL, CA
NPI
1891533238
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-07-18
Last Update Date
2024-07-18
Business Address
AUDRA BALLARD
3270 KERNER BLVD STE C
SAN RAFAEL, CA 94901-4840
Phone number: 415-457-4554
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Mailing Address
AUDRA BALLARD
1917 KINROSS WAY
SAN JOSE, CA 95122-2943
Phone number: 214-797-7064
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