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1942268453
CHRIS BALLOU LILLIE
DURHAM, NC
NPI
1942268453
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Primary Taxonomy
363AM0700X Physician Assistant Medical
(Licence: NC 100894)
Enumeration Date
2006-05-03
Last Update Date
2007-07-08
Business Address
MR. CHRIS BALLOU LILLIE PA-C
DURHAM VA MEDICAL CENTER 508 FULTON ST
DURHAM, NC 27705
Phone number: 919-286-0411
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Mailing Address
MR. CHRIS BALLOU LILLIE PA-C
206 QUAIL ROOST DR
CARRBORO, NC 27510-1156
Phone number: 919-286-0411
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