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1952300105
M. JANICE BALLOU
DALLAS, TX
NPI
1952300105
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: TX 529718)
Enumeration Date
2005-07-19
Last Update Date
2008-11-22
Business Address
-- M. JANICE BALLOU PNP
5201 HARRY HINES BLVD MEDICAL STAFF SERVICES
DALLAS, TX 75235-7708
Phone number: 214-590-8006
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Mailing Address
-- M. JANICE BALLOU PNP
PO BOX 660599
DALLAS, TX 75266-0599
Phone number:
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