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1063254068
MALACHI ZION BALLESTEROS
LAS VEGAS, NV
NPI
1063254068
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2024-06-10
Last Update Date
2024-06-17
Business Address
MALACHI ZION BALLESTEROS
2013 WHITE FALLS ST
LAS VEGAS, NV 89128-6751
Phone number: 702-755-7125
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Mailing Address
MALACHI ZION BALLESTEROS
2013 WHITE FALLS ST
LAS VEGAS, NV 89128-6751
Phone number: 702-755-7125
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