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1992483655
MICKENZIE J BALLOU
MANSFIELD, OH
NPI
1992483655
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2023-07-11
Last Update Date
2023-07-11
Business Address
MICKENZIE J BALLOU
222 MARION AVE
MANSFIELD, OH 44903-2138
Phone number: 567-560-3582
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Mailing Address
MICKENZIE J BALLOU
1405 HONEY CREEK RD W
BELLVILLE, OH 44813-9038
Phone number:
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