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Individual

VICKY J BALLARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
4340 NEWBERRY RD STE 104, GAINESVILLE, FL 32607-2557
(352) 377-3100
(352) 377-1286
Mailing address
2403 NW 47TH TER, GAINESVILLE, FL 32606-6584
(301) 518-3140

Taxonomy

Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary

Other

Enumeration date
01/18/2023
Last updated
01/18/2023
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