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Individual
BROOKE LAURA BALLARD
Active
Individual
BROOKE LAURA BALLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
A104161
CA
207XS0106X
Orthopaedic Hand Surgery Physician
TRN#17204
FL
Other
Enumeration date
08/20/2008
Last updated
01/29/2025
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