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1891794657
LEIGH ANN BALLOU
LOMA LINDA, CA
NPI
1891794657
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: CA PA16765)
Enumeration Date
2005-07-14
Last Update Date
2007-07-08
Business Address
-- LEIGH ANN BALLOU PA-C
11234 ANDERSON ST RM 2562B
LOMA LINDA, CA 92354-2804
Phone number: 909-558-6386
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Mailing Address
-- LEIGH ANN BALLOU PA-C
25455 BARTON RD SUITE 108-A
LOMA LINDA, CA 92354-3128
Phone number: 909-558-6386
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