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1053887414
JAVIER A BALLESTEROS
CHULA VISTA, CA
NPI
1053887414
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2018-10-23
Last Update Date
2018-10-23
Business Address
JAVIER A BALLESTEROS
1095 BAY BLVD
CHULA VISTA, CA 91911-1648
Phone number: 619-823-8648
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Mailing Address
JAVIER A BALLESTEROS
1095 BAY BLVD
CHULA VISTA, CA 91911-1648
Phone number: 619-823-8648
Copy
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