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SANDRA LYNN BALL

Respite Care, Mental Illness, Child >> Respite Care >> Respite Care Facility

Registrant NPI Number: 1710068226

Individual Registrant:
 SANDRA LYNN BALL 
Gender: F
Sole Proprietor

Location and contact information for practice:
3002 W. WILLIAMS RD  BENSON, AZ 85602 US
Tel: 520-586-0992  Fax: --

Contact information for business:
3002 W. WILLIAMS RD  BENSON, AZ 85602 US
Tel: 520-586-0992  Fax: --

Registration Information:
NPI: 1710068226
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y385HR2055XRespite Care Facility
Respite Care
Respite Care, Mental Illness, Child
AZ4114

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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