Garrett Clyde Ballo, MILITARYPROVIDER
Garrett Clyde Ballo, MILITARYPROVIDER is an Independent Duty Corpsman in Jacksonville, North Carolina. Practices as a sole proprietor. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
116 Moss Creek DrJacksonville, NC 28540-3231
Phone: (805) 305-1868
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Independent Duty Corpsman (primary) | Taxonomy 1710I1002X |
|---|
Record details
| NPI number | 1386315695 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MILITARYPROVIDER |
| Sole proprietor | Yes |
| NPI enumerated | September 26, 2021 |
| Last updated in NPPES | November 9, 2021 |
| Certification date | November 6, 2021 |
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