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Individual

MRS. VICKI LEE BALLENGER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
202 COUNTY ROAD 24, ASHLEY, OH 43003-9668
(614) 402-5728
Mailing address
202 COUNTY ROAD 24, ASHLEY, OH 43003-9668
(614) 402-5728

Taxonomy

Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
RN407510
OH

Other

Enumeration date
03/21/2012
Last updated
10/01/2014
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