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1043387046
RENEE HEATHER BALLENTINE
TUSTIN, CA
NPI
1043387046
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA 20A8509)
Enumeration Date
2006-11-29
Last Update Date
2017-03-08
Business Address
RENEE HEATHER BALLENTINE DO
1451 IRVINE BLVD
TUSTIN, CA 92780-3804
Phone number: 714-838-8878
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Mailing Address
RENEE HEATHER BALLENTINE DO
1451 IRVINE BLVD
TUSTIN, CA 92780-3804
Phone number:
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