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Individual

CHARNITA BALLARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
601 PERRY CT, CEDAR HILL, TX 75104-6803
(214) 709-6791
Mailing address
601 PERRY CT, CEDAR HILL, TX 75104-6803

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
895317
TX

Other

Enumeration date
02/20/2018
Last updated
02/20/2018
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