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Individual

OLIVIA MAREE BALLARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
HIS

Contact information

Practice address
904 THOMPSON BLVD, SEDALIA, MO 65301-2241
(660) 826-3700
Mailing address
2202 W 3RD ST, SEDALIA, MO 65301-2408
(660) 619-3333

Taxonomy

Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
2023028717
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
16112054
CAQH ID
Enumeration date
03/07/2024
Last updated
03/07/2024
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