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Individual

REGINA GAIL BALLARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
810 S GEORGE NIGH EXPY, MCALESTER, OK 74501-7279
(918) 423-4900
(918) 423-4905
Mailing address
PO BOX 87, GOWEN, OK 74545-0087
(918) 470-7014
(918) 423-4905

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
R0078895
OK

Other

Enumeration date
09/27/2006
Last updated
07/08/2007
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