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1972096451
JIMMY BALLARD HARRELL
GOLDSBORO, NC
NPI
1972096451
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TB0200X Psychologist, Cognitive & Behavioral
(Licence: NC 1514)
Enumeration Date
2018-06-11
Last Update Date
2018-06-11
Business Address
JIMMY BALLARD HARRELL HSP-PA
1706 WAYNE MEMORIAL DR
GOLDSBORO, NC 27534-2240
Phone number: 919-734-6676
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Mailing Address
JIMMY BALLARD HARRELL HSP-PA
1706 WAYNE MEMORIAL DR
GOLDSBORO, NC 27534-2240
Phone number: 919-734-6676
Copy
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