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Individual

DUSTIN BROOKS BALLARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1125 ECHO PASS ST, HENDERSON, NV 89052-3801
(385) 239-0639
Mailing address
1224 W 5050 S, OGDEN, UT 84405-3954

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
6609439-3102
UT

Other

Enumeration date
04/03/2026
Last updated
04/03/2026
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